NPI 1003204827
Melissa Ann Lake, PSYD
Practice location
- Address
- 4552 W Cottontail Rd, Phoenix, AZ 85086-1449
- Phone
- (201) 232-9916
Registered specialties
Psychologist
Primary
Registry record
- NPI
- 1003204827
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 31 Dec 2014
- Record last updated
- 21 Jul 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.