Provider Demographics
NPI:1235513979
Name:LAMPERT, RANDI LYNN
Entity Type:Individual
Prefix:
First Name:RANDI
Middle Name:LYNN
Last Name:LAMPERT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:RANDI
Other - Middle Name:LYNN
Other - Last Name:LAMPERT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:27201 TOURNEY RD
Mailing Address - Street 2:225
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-1854
Mailing Address - Country:US
Mailing Address - Phone:661-713-6746
Mailing Address - Fax:
Practice Address - Street 1:27201 TOURNEY RD
Practice Address - Street 2:225
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-1854
Practice Address - Country:US
Practice Address - Phone:661-713-6746
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-13
Last Update Date:2015-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA82571106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist