Provider Demographics
NPI:1689162521
Name:LAMBERT, MEHGAN LYNN
Entity type:Individual
Prefix:
First Name:MEHGAN
Middle Name:LYNN
Last Name:LAMBERT
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13358 HERNE BAY CT
Mailing Address - Street 2:
Mailing Address - City:MOORPARK
Mailing Address - State:CA
Mailing Address - Zip Code:93021-1998
Mailing Address - Country:US
Mailing Address - Phone:805-616-9935
Mailing Address - Fax:
Practice Address - Street 1:4774 PARK GRANADA UNIT 8742
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91372-7037
Practice Address - Country:US
Practice Address - Phone:310-853-2489
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA174400000X
CA12168101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No174400000XOther Service ProvidersSpecialist