Provider Demographics
NPI:1154662781
Name:LAMBERTY, PAMELA S (PLMHP)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:S
Last Name:LAMBERTY
Suffix:
Gender:F
Credentials:PLMHP
Other - Prefix:
Other - First Name:PAMELA
Other - Middle Name:S
Other - Last Name:DUNCUN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:11111 M ST.
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68137
Mailing Address - Country:US
Mailing Address - Phone:402-939-4665
Mailing Address - Fax:402-504-3924
Practice Address - Street 1:11111 M ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68137-2378
Practice Address - Country:US
Practice Address - Phone:402-504-4099
Practice Address - Fax:402-504-3929
Is Sole Proprietor?:No
Enumeration Date:2013-03-06
Last Update Date:2016-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE9911101YM0800X
NE4724101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health