Provider Demographics
NPI:1902825888
Name:LAMP, JUDITH F (PHD, LP)
Entity Type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:F
Last Name:LAMP
Suffix:
Gender:F
Credentials:PHD, LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3393 OXFORD BAY
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-2725
Mailing Address - Country:US
Mailing Address - Phone:651-738-7657
Mailing Address - Fax:651-578-0876
Practice Address - Street 1:1937 WOODLANE DR
Practice Address - Street 2:SUITE 208
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-3926
Practice Address - Country:US
Practice Address - Phone:651-738-7657
Practice Address - Fax:651-578-0876
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP3879103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical