Provider Demographics
NPI:1093125452
Name:LAMPTEY, GABRIEL (BS PSY)
Entity Type:Individual
Prefix:
First Name:GABRIEL
Middle Name:
Last Name:LAMPTEY
Suffix:
Gender:M
Credentials:BS PSY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49A FARRAR AVE
Mailing Address - Street 2:APT. 1L
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01604-3272
Mailing Address - Country:US
Mailing Address - Phone:774-228-8808
Mailing Address - Fax:508-752-3967
Practice Address - Street 1:340 MAIN ST
Practice Address - Street 2:SUIT 819
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608-1604
Practice Address - Country:US
Practice Address - Phone:508-752-3969
Practice Address - Fax:508-752-3967
Is Sole Proprietor?:No
Enumeration Date:2014-05-06
Last Update Date:2014-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)