Doctor Name: | MS. JOSLIN LAKE |
NPI Number: | 1396862264 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SLP |
License Number: | 5992 |
Business Practice Address: | 1795 Westchester Dr High Point, NC - 272627008 |
Business Phone Number: | 3368846098 |
Business Fax Number: | |
Mailing Address: | 3100 Madison Farm Ct, Apt. 308 GARNER |
State: | NC |
Postal Code: | 275295407 |
Phone Number: | 9195226726 |
Fax Number: | 9197726576 |
NPI Enumeration Date: | 03/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 5992 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |