Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 2595 | MD |
N | 103TC0700X | Clinical Psychologist | 2595 | MD |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 2595 | MD |
NPI | 1013066471 |
---|---|
Provider Name | Harlan Lampert |
First Address | Fairfax, VA 22033-2580 |
Second Address | Rockville, MD 20852-4817 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2007 |
Last Update Date | 08/07/2007 |