Provider Demographics
NPI:1407248230
Name:MERRY LAMBERT
Entity Type:Organization
Organization Name:MERRY LAMBERT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMFT
Authorized Official - Prefix:MS
Authorized Official - First Name:MERRY
Authorized Official - Middle Name:ALISON
Authorized Official - Last Name:LAMBERT
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:818-754-1450
Mailing Address - Street 1:24331 AETNA ST
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-1104
Mailing Address - Country:US
Mailing Address - Phone:818-754-1450
Mailing Address - Fax:818-340-6578
Practice Address - Street 1:24331 AETNA ST
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-1104
Practice Address - Country:US
Practice Address - Phone:818-754-1450
Practice Address - Fax:818-340-6578
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-03
Last Update Date:2015-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT47505305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization