MEDICARE: CASSANDRA LAMPTEY MS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	101YM0800X	Mental Health Counselor
3	101YP2500X	Professional Counselor
4	103K00000X	Behavior Analyst
5	103TA0700X	Adult Development & Aging Psychologist
6	103TB0200X	Cognitive & Behavioral Psychologist
7	103TM1800X	Intellectual & Developmental Disabilities Psychologist
8	106E00000X	Assistant Behavior Analyst
9	106S00000X	Behavior Technician
10	374U00000X	Home Health Aide
11	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1730794140
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CASSANDRA LAMPTEY MS

Provider Business Mailing Address
First Line	:	6387 CAMP BOWIE BLVD STE B
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76116-5486
Country	:	US
Telephone Number	:	817-983-2077
Fax Number	:

Provider Business Practice Location Address
First Line	:	2917 BUCKSKIN RUN
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76116-9601
Country	:	US
Telephone Number	:	817-983-2077
Fax Number	:

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

Provider Enumeration Date	:	09/11/2020
Last Update Date	:	09/11/2020

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