| Doctor Name: | DR. CHARLES WILLIAM LAMB |
| NPI Number: | 1083686927 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 003704-1 |
| Business Practice Address: | 71 Chestnut St Cooperstown, NY - 133261160 |
| Business Phone Number: | 6075475230 |
| Business Fax Number: | 6075475578 |
| Mailing Address: | 71 Chestnut St, Po Box 471 COOPERSTOWN |
| State: | NY |
| Postal Code: | 133261160 |
| Phone Number: | 6075475230 |
| Fax Number: | 6075475578 |
| NPI Enumeration Date: | 02/04/2006 |
| NPI Last Update Date: | 10/03/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 003704-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |