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Individual

GREGORY SCOTT LAMBETH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
404 W GREEN ST, URBANA, IL 61801-3267
(217) 384-3132
Mailing address
704 W DELAWARE AVE, URBANA, IL 61801-4807
(217) 337-6227

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071005312
IL

Other

Enumeration date
04/19/2007
Last updated
03/13/2013
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