Individual
DR. MATTHEW EDWARD LAMBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1315 WATERS EDGE DR. #112B, GRANBURY, TX 76048-1300
(817) 876-6056
(817) 607-8203
Mailing address
1315 WATERS EDGE DR. #112B, GRANBURY, TX 76048-1300
(817) 876-6056
(817) 607-8203
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
23743
TX
103G00000X
Clinical Neuropsychologist
PSY-202896
ID
103TC1900X
Counseling Psychologist
23743
TX
103TC1900X
Counseling Psychologist
PSY-202896
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00F98C
BCBS
TX
05
—
033272801
—
TX
01
—
117301100
FIRSTCARE
TX
01
—
140714100
ACL USDL
TX
01
—
431481107001
TRICARE/CHAMPUS
TX
01
—
4712364277
TEAM CHOICE
TX
01
—
680001038
MEDICARE RR
TX
01
—
97338
VALUE OPTIONS
TX
05
—
N5822
—
NM
01
—
PSY23743TX
WORKER'S COMPENSATION
TX
Enumeration date
10/04/2005
Last updated
07/30/2020
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