MELISSA ANN LAKE

PHOENIX, AZ
NPI1003204827
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
Enumeration Date2014-12-31
Last Update Date2022-07-21
Business Address
-- MELISSA ANN LAKE Psy.D.
4552 W COTTONTAIL RD
PHOENIX, AZ 85086-1449
Phone number: 201-232-9916
Mailing Address
-- MELISSA ANN LAKE Psy.D.
4552 W COTTONTAIL RD
PHOENIX, AZ 85086-1449
Phone number: 201-232-9916