Whalio Doctors

NPI 1003204827

Melissa Ann Lake, PSYD

Practitioner Psychologist Phoenix, AZ

Practice location

Address
4552 W Cottontail Rd, Phoenix, AZ 85086-1449
Phone
(201) 232-9916

Registered specialties

Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103T00000X

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.