Provider Demographics
NPI:1871971309
Name:LAMKIN, NATHAN (PSYD)
Entity type:Individual
Prefix:
First Name:NATHAN
Middle Name:
Last Name:LAMKIN
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1617 AKRON PENINSULA RD STE 202
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313-7930
Mailing Address - Country:US
Mailing Address - Phone:330-286-6700
Mailing Address - Fax:330-299-5567
Practice Address - Street 1:1617 AKRON PENINSULA RD STE 202
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44313-7930
Practice Address - Country:US
Practice Address - Phone:330-286-6700
Practice Address - Fax:330-299-5567
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-17
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH7159103TA0400X, 103TF0000X, 103TB0200X, 103TC0700X, 103TP2701X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy