Melissa Ann Lake, PSY.D.

NPI #1003204827 in Phoenix, Arizona

Provider Information

NPI Number: 1003204827
Entity Type: Individual
Name: Melissa Ann Lake, PSY.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PSY.D.
Enumeration Date: Dec 31, 2014
Last Updated: Jul 21, 2022

Practice Location

Address: 4552 W COTTONTAIL RD
City: Phoenix
State: Arizona
ZIP Code: 85086-1449
Phone: (201) 232-9916

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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