Provider Demographics
NPI:1669731717
Name:LAMBERT, RONALD (MA)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:
Last Name:LAMBERT
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1324 N 38TH RD
Mailing Address - Street 2:
Mailing Address - City:EARLVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60518-6111
Mailing Address - Country:US
Mailing Address - Phone:815-228-8854
Mailing Address - Fax:
Practice Address - Street 1:710 E OGDEN AVE
Practice Address - Street 2:SUITE 640
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-8602
Practice Address - Country:US
Practice Address - Phone:815-228-8854
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-10
Last Update Date:2016-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor