MEDICARE: MRS. ANNE SIMPSON LAMBERT MSP, CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	3804	SC

General Provider Information

NPI Number	:	1619977212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANNE SIMPSON LAMBERT MSP, CCC-SLP

Provider Business Mailing Address
First Line	:	501 WINGCUP WAY
Second Line	:
City	:	SIMPSONVILLE
State	:	SC
Zip	:	29680-6898
Country	:	US
Telephone Number	:	864-967-7023
Fax Number	:

Provider Business Practice Location Address
First Line	:	501 WINGCUP WAY
Second Line	:
City	:	SIMPSONVILLE
State	:	SC
Zip	:	29680-6898
Country	:	US
Telephone Number	:	864-967-7023
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2005
Last Update Date	:	08/25/2009

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