Provider Demographics
NPI:1285002121
Name:LAMBHA, MEENAKSHI (PHD)
Entity Type:Individual
Prefix:
First Name:MEENAKSHI
Middle Name:
Last Name:LAMBHA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:MEENA
Other - Middle Name:
Other - Last Name:LAMBHA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:160 CLAIREMONT AVE
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030-2500
Mailing Address - Country:US
Mailing Address - Phone:404-500-4266
Mailing Address - Fax:
Practice Address - Street 1:160 CLAIREMONT AVE
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-2500
Practice Address - Country:US
Practice Address - Phone:404-500-4266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-09
Last Update Date:2015-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY003867103TC0700X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent