Provider Demographics
NPI:1285837369
Name:LAMBERT, WARREN E III (PHD)
Entity Type:Individual
Prefix:DR
First Name:WARREN
Middle Name:E
Last Name:LAMBERT
Suffix:III
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4156 WESTPORT RD
Mailing Address - Street 2:SUITE 214
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-2705
Mailing Address - Country:US
Mailing Address - Phone:502-653-9019
Mailing Address - Fax:
Practice Address - Street 1:4010 DUPONT CIR STE 419
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4837
Practice Address - Country:US
Practice Address - Phone:502-409-6993
Practice Address - Fax:502-409-6775
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2018-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY129668103TC0700X
KY1721103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1427569219OtherSTATE