Provider Demographics
NPI:1699986851
Name:LAMPE, DEBBIE C
Entity type:Individual
Prefix:
First Name:DEBBIE
Middle Name:C
Last Name:LAMPE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 BLUEBELL CIR
Mailing Address - Street 2:
Mailing Address - City:NEW CONCORD
Mailing Address - State:KY
Mailing Address - Zip Code:42076-9116
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:165 BLUEBELL CIR
Practice Address - Street 2:
Practice Address - City:NEW CONCORD
Practice Address - State:KY
Practice Address - Zip Code:42076-9116
Practice Address - Country:US
Practice Address - Phone:270-978-1882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-26
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY199603960222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist