Provider Demographics
NPI:1396348108
Name:LAMPITT, KARINA (MS)
Entity type:Individual
Prefix:
First Name:KARINA
Middle Name:
Last Name:LAMPITT
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21116 PAHUTE RD
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92308-4803
Mailing Address - Country:US
Mailing Address - Phone:760-217-9030
Mailing Address - Fax:
Practice Address - Street 1:21116 PAHUTE RD
Practice Address - Street 2:21116 PAHUTE ROAD
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92308-4803
Practice Address - Country:US
Practice Address - Phone:760-217-9030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-16
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty