Provider Demographics
NPI:1437408614
Name:LAMB, ANNE P (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:P
Last Name:LAMB
Suffix:
Gender:F
Credentials: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:PO BOX 711
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VT
Mailing Address - Zip Code:05143-0711
Mailing Address - Country:US
Mailing Address - Phone:802-875-6379
Mailing Address - Fax:
Practice Address - Street 1:1930 RESERVOIRE ROAD
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VT
Practice Address - Zip Code:05143
Practice Address - Country:US
Practice Address - Phone:802-875-6379
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-05
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
09128459OtherAMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION