Provider Demographics
NPI:1659321669
Name:LAMBERT, IVAN L (MA)
Entity Type:Individual
Prefix:MR
First Name:IVAN
Middle Name:L
Last Name:LAMBERT
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 UNION AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15205-2725
Mailing Address - Country:US
Mailing Address - Phone:412-920-7431
Mailing Address - Fax:
Practice Address - Street 1:87 E MAIDEN ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-4964
Practice Address - Country:US
Practice Address - Phone:724-225-3444
Practice Address - Fax:724-222-2189
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-11
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC000355101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor