MS. Amanda Marie Lake, MA CCC-SLP
NPI #1184954000 in Dewitt, Michigan
Provider Information
- NPI Number
- 1184954000
- Entity Type
- Individual
- Name
- MS. Amanda Marie Lake, MA CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MA CCC-SLP
- Enumeration Date
- Dec 29, 2009
- Last Updated
- Jul 10, 2025
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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