Provider Demographics
NPI:1184944340
Name:LAMBERT, KEVIN C (PSYD)
Entity type:Individual
Prefix:
First Name:KEVIN
Middle Name:C
Last Name:LAMBERT
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3465 NATIONAL DR STE 215
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-1095
Mailing Address - Country:US
Mailing Address - Phone:972-987-5460
Mailing Address - Fax:855-437-2354
Practice Address - Street 1:3465 NATIONAL DR STE 215
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75025-1095
Practice Address - Country:US
Practice Address - Phone:972-987-5460
Practice Address - Fax:855-437-2354
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-10
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33988103TC0700X, 103TC1900X, 103TC2200X, 103TF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent