Provider Demographics
NPI:1326528639
Name:LAMBERTO, SARA (MS, CCC,SLP)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:LAMBERTO
Suffix:
Gender:F
Credentials:MS, CCC,SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 N 2ND ST UNIT 3E
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19106-4605
Mailing Address - Country:US
Mailing Address - Phone:240-743-8521
Mailing Address - Fax:
Practice Address - Street 1:851 NJ-73 C
Practice Address - Street 2:GREENTREE EXECUTIVE COMMONS
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053
Practice Address - Country:US
Practice Address - Phone:856-983-3390
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-16
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARBT-18-55504106S00000X
NJ41YS01193400235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician