Provider Demographics
NPI:1487096046
Name:CRAIG LAMBERT THERAPY
Entity type:Organization
Organization Name:CRAIG LAMBERT THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMBERT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:619-990-9032
Mailing Address - Street 1:7791 STARLIGHT DR
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-3543
Mailing Address - Country:US
Mailing Address - Phone:619-990-9032
Mailing Address - Fax:858-457-7790
Practice Address - Street 1:7791 STARLIGHT DR
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-3543
Practice Address - Country:US
Practice Address - Phone:619-990-9032
Practice Address - Fax:858-457-7790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-24
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty