Provider Demographics
NPI:1972739753
Name:LAMB, CHRISTY ANN (MA CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:ANN
Last Name:LAMB
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7837 N BREEDEN RD
Mailing Address - Street 2:
Mailing Address - City:TRYON
Mailing Address - State:OK
Mailing Address - Zip Code:74875-7739
Mailing Address - Country:US
Mailing Address - Phone:918-285-6201
Mailing Address - Fax:918-374-2607
Practice Address - Street 1:7837 N BREEDEN RD
Practice Address - Street 2:
Practice Address - City:TRYON
Practice Address - State:OK
Practice Address - Zip Code:74875-7739
Practice Address - Country:US
Practice Address - Phone:918-285-6201
Practice Address - Fax:918-374-2607
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-07
Last Update Date:2009-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2237235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist