Active NPIIndividual provider

Jessica Lake

Speech-Language Pathologist, in Belmont, Massachusetts

NPI Number1437708963
Practice location
93 Slade St, Belmont, MA 02478
Fax
—
Last updated
February 15, 2024

Jessica Lake is a Speech-Language Pathologist, based in Belmont, MA. Jessica Lake practices in Belmont, MA. The NPI Number for Jessica Lake is 1437708963 and holds a License No. SLP100165 (MA). The current practice location address for Jessica Lake is 93 Slade St, Belmont, MA 02478 and can be reached out via phone at 310-903-1034.

Provider Profile Details

NPI Number
1437708963
Provider Name
Jessica Lake
Provider Entity Type
Individual
Gender
Female
Address
93 Slade St, Belmont, MA 02478
Phone Number
310-903-1034
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
September 7, 2019
Last Update Date
February 15, 2024
Certification Date
February 15, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
93 Slade St
Belmont, MA 02478
Zip
02478
Phone Number
310-903-1034
Belmont, MA 02478Get directions →

Provider Business Mailing Address Details

Address
93 Slade St
Belmont, MA 02478-2225
City
Belmont
State
MA
Zip
02478-2225
Phone Number
310-903-1034

License Information

License Number
SLP100165
License State
MA
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jessica Lake?

The NPI number of Jessica Lake is 1437708963. It was assigned on September 7, 2019 and is currently active in the NPPES registry.

What is the specialty of Jessica Lake?

Jessica Lake is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number SLP100165.

Where does Jessica Lake practice?

The practice location is 93 Slade St, Belmont, MA 02478. The office can be reached at 310-903-1034 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1437708963 directly on the NPPES registry website.

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