Provider Demographics
NPI:1902362668
Name:LAMBERT, JUDI F (MPA, M ED, COMS)
Entity Type:Individual
Prefix:
First Name:JUDI
Middle Name:F
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:MPA, M ED, COMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 PHEASANT DR
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02920-1315
Mailing Address - Country:US
Mailing Address - Phone:401-523-6632
Mailing Address - Fax:
Practice Address - Street 1:11 PHEASANT DR
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02920-1315
Practice Address - Country:US
Practice Address - Phone:401-523-6632
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-18
Last Update Date:2022-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
5714225CX0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225CX0006XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorOrientation and Mobility Training Provider
Provider Identifiers
StateIdentifier IDID TypeIssuer
5714OtherACVREP