MEDICARE: DR. KRISTY L LAMAR PHD

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	103TC1900X	Counseling Psychologist

General Provider Information

NPI Number	:	1679389274
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KRISTY L LAMAR PHD

Provider Business Mailing Address
First Line	:	6275 UNIVERSITY DR NW STE 37-615
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35806-1776
Country	:	US
Telephone Number	:	423-408-8177
Fax Number	:

Provider Business Practice Location Address
First Line	:	316 LISMORE DR
Second Line	:
City	:	FORT WASHINGTON
State	:	MD
Zip	:	20744-6512
Country	:	US
Telephone Number	:	202-657-1500
Fax Number	:

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

Provider Enumeration Date	:	12/09/2024
Last Update Date	:	12/09/2024

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