GREGORY J LAMBERTY PHD
Clinical Neuropsychologist
Minneapolis, Minnesota
Provider NPI: 1396740619
Provider Information:GREGORY J LAMBERTY PHD
Gender: M
Not Sole Proprietor
Practice Location:
2828 CHICAGO AVE SOUTH SUITE 200 MINNEAPOLIS, MN 55407 US
Tel: 612-879-1000 Fax: 612-879-9116
Business Mailing Address:
2828 CHICAGO AVE SOUTH SUITE 200 MINNEAPOLIS, MN 55407 US
Tel: 612-879-1000 Fax: 612-879-9116
Entity Type: Individual
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | MN | LP4270 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
749488200 | MN | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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