Doctor Name: | DR. MARY LOUISE LAMBERT |
NPI Number: | 1306808985 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | 04001 |
Business Practice Address: | Va Maryland Health Care System Perry Point Division Perry Point, MD - 21902 |
Business Phone Number: | 4106422411 |
Business Fax Number: | 4106421707 |
Mailing Address: | 8639 Heathermill Rd, NOTTINGHAM |
State: | MD |
Postal Code: | 212362631 |
Phone Number: | 4109313643 |
Fax Number: | |
NPI Enumeration Date: | 04/06/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 04001 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |