Provider Demographics
NPI:1669506333
Name:LAMBERT, MERRY A (LMFT47505)
Entity Type:Individual
Prefix:
First Name:MERRY
Middle Name:A
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:LMFT47505
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:
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:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT47505106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist