| Doctor Name: | ABBIGAIL EMILIE LAKE |
| NPI Number: | 1790187409 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS/CCC-SLP |
| License Number: | SLPLPA00210182 |
| Business Practice Address: | 1820 Oakview Rd Ashland, KY - 411013677 |
| Business Phone Number: | 6063255200 |
| Business Fax Number: | |
| Mailing Address: | 536 Old Howell Rd, GREENVILLE |
| State: | SC |
| Postal Code: | 296151969 |
| Phone Number: | 8775083237 |
| Fax Number: | 8775088714 |
| NPI Enumeration Date: | 09/24/2014 |
| NPI Last Update Date: | 09/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SLPLPA00210182 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| 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 |