Suzanne Marie Lake in Pasadena - Clinical
Suzanne Marie Lake - NPI 1023048410
Suzanne Marie Lake is a Clinical in Pasadena, California. Suzanne Marie Lake practices all healthcare services and medical treatments related to Clinical. The NPI Number for Suzanne Marie Lake is 1023048410. The last update date is 2007-07-08.
Suzanne Marie Lake's current location address is 2810 E Del Mar Blvd, Pasadena, California. You can contact this provider via phone number 6267958148. The mailing address for Suzanne Marie Lake is 2810 E Del Mar Blvd, Pasadena, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Suzanne Marie Lake |
|---|---|
| Address | 2810 E Del Mar Blvd, Pasadena, California |
| Phone Number | 6267958148 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1023048410 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2810 E Del Mar Blvd |
|---|---|
| City | Pasadena |
| State | California (CA) |
| Post Code | 911074321 |
| Phone Number | 6267958148 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY13922 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identifier code issued to Suzanne Marie Lake by the Centers for Medicare & Medicaid Services?
The Suzanne Marie Lake has been assigned the NPI (National Provider Identifier) 1023048410. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Suzanne Marie Lake is physically located?
The Suzanne Marie Lake is situated at the following address: 2810 E Del Mar Blvd, Pasadena, CA 911074321.
What is the Suzanne Marie Lake's specialty and taxonomy code?
The Suzanne Marie Lake's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
When did the Suzanne Marie Lake receive its 1023048410?
The Suzanne Marie Lake was issued its 1023048410 on 2006-07-03, which is the date when the organization was assigned this unique identifier.
As of what date were the Suzanne Marie Lake's details last updated?
The information pertaining to the Suzanne Marie Lake, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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