Individual
DR. DUSTIN LAMPORT
Active
Individual
DR. DUSTIN LAMPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
P3339
TN
103TC0700X
Clinical Psychologist
Primary
P3339
TN
390200000X
Student in an Organized Health Care Education/Training Program
6301015949
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q025600
—
TN
Enumeration date
07/17/2014
Last updated
09/16/2024
Update your record
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