Provider Demographics
NPI:1699115287
Name:LAMBERT-WATKINS, MICHELE' (PHD)
Entity type:Individual
Prefix:DR
First Name:MICHELE'
Middle Name:
Last Name:LAMBERT-WATKINS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3568 CREEKVIEW DR
Mailing Address - Street 2:
Mailing Address - City:REX
Mailing Address - State:GA
Mailing Address - Zip Code:30273-5045
Mailing Address - Country:US
Mailing Address - Phone:678-558-0904
Mailing Address - Fax:770-703-2448
Practice Address - Street 1:3568 CREEKVIEW DR
Practice Address - Street 2:
Practice Address - City:REX
Practice Address - State:GA
Practice Address - Zip Code:30273-5045
Practice Address - Country:US
Practice Address - Phone:678-558-0904
Practice Address - Fax:770-703-2448
Is Sole Proprietor?:No
Enumeration Date:2013-06-27
Last Update Date:2013-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral