Provider Demographics
NPI:1689946063
Name:LAMBETH, DENISHA
Entity Type:Individual
Prefix:
First Name:DENISHA
Middle Name:
Last Name:LAMBETH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13305 PLAZA TERRACE
Mailing Address - Street 2:254B
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-2186
Mailing Address - Country:US
Mailing Address - Phone:405-824-1960
Mailing Address - Fax:
Practice Address - Street 1:13305 PLAZA TERRACE
Practice Address - Street 2:254B
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-2186
Practice Address - Country:US
Practice Address - Phone:405-824-1960
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-01
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst