Provider Demographics
NPI:1245579689
Name:LAMBERT, ASHLY JULIA (JD, PHD)
Entity Type:Individual
Prefix:
First Name:ASHLY
Middle Name:JULIA
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:JD, PHD
Other - Prefix:
Other - First Name:ASHLY
Other - Middle Name:JULIA
Other - Last Name:HAGEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:JD, PHD
Mailing Address - Street 1:11729 PHINNEY AVE N
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-8131
Mailing Address - Country:US
Mailing Address - Phone:206-715-2789
Mailing Address - Fax:
Practice Address - Street 1:2366 EASTLAKE AVE E STE 306
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98102-3399
Practice Address - Country:US
Practice Address - Phone:206-484-6188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-05
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY60298114103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical