Provider Demographics
NPI:1992595961
Name:LAMAR, MARIA KATERINA (P133352)
Entity type:Individual
Prefix:MISS
First Name:MARIA
Middle Name:KATERINA
Last Name:LAMAR
Suffix:
Gender:F
Credentials:P133352
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11929 80TH RD STE A
Mailing Address - Street 2:
Mailing Address - City:KEW GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11415-1105
Mailing Address - Country:US
Mailing Address - Phone:347-829-8008
Mailing Address - Fax:
Practice Address - Street 1:11929 80TH RD STE A
Practice Address - Street 2:
Practice Address - City:KEW GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11415-1105
Practice Address - Country:US
Practice Address - Phone:347-829-8008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health