Melissa Ann Lake
Psychologist
4552 W Cottontail Rd
Phoenix
, Arizona 85086-1449
Melissa Ann Lake
Psychologist
4552 W Cottontail Rd
Phoenix
, Arizona 85086-1449
(201) 232-9916
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About
Features
Specialties
- Psychologist
Languages spoken
- English
Location
First Address
- Melissa Ann Lake
- 4552 W Cottontail Rd
- Phoenix, AZ
- Zip : 85086-1449
- Phone : (201) 232-9916
Second Address
- Melissa Ann Lake
- 4552 W Cottontail Rd
- Phoenix, AZ
- Zip : 85086-1449
- Phone : (201) 232-9916
Reviews
FAQs
Where did Melissa Ann Lake attend graduate school?
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Where did Melissa Ann Lake do her fellowship?
Is Melissa Ann Lake board certified?
What type of doctor is Melissa Ann Lake
In what state does Melissa Ann Lake practice in?
Where is Melissa Ann Lake ’s practice located?
What is Melissa Ann Lake ’s gender?
Is Melissa Ann Lake a sole practitioner?
Is Melissa Ann Lake accepting new patients?
What languages does Melissa Ann Lake speak?
Does Melissa Ann Lake accept insurance?
Does Melissa Ann Lake offers telemedicine?
What is Melissa Ann Lake ’s professional license number?
What is Melissa Ann Lake ’s NPI number?
Does Melissa Ann Lake have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | $$$$$$$$$ | AZ |
| Y | 103T00000X | Psychologist | $$$$$$$$$ | AZ |
National Provider Identifier
| NPI | 1003204827 |
|---|---|
| Provider Name | Melissa Ann Lake |
| First Address | Phoenix, AZ 85086-1449 |
| Second Address | Phoenix, AZ 85086-1449 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/12/2014 |
| Last Update Date | 31/12/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 001533 | AHCCCS (01) | AZ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.