Provider Demographics
NPI:1427443563
Name:LAMPEL, NICOLE (LCAT, ATR-BC)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:
Last Name:LAMPEL
Suffix:
Gender:F
Credentials:LCAT, ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 GORY BROOK RD FL 1
Mailing Address - Street 2:
Mailing Address - City:SLEEPY HOLLOW
Mailing Address - State:NY
Mailing Address - Zip Code:10591-1701
Mailing Address - Country:US
Mailing Address - Phone:201-788-9877
Mailing Address - Fax:
Practice Address - Street 1:45 GORY BROOK RD FL 1
Practice Address - Street 2:
Practice Address - City:SLEEPY HOLLOW
Practice Address - State:NY
Practice Address - Zip Code:10591-1701
Practice Address - Country:US
Practice Address - Phone:201-788-9877
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-06
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001298101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor