Amy Lake, SLP
Speech-Language Pathologist, in Mount Laurel, New Jersey
1609354943- Practice location
- 3900 Church RD, Mount Laurel, NJ 08054-1108
- Phone
- 800-774-5516
- Fax
- 856-429-4755
- Last updated
- July 30, 2018
Amy Lake is a Speech-Language Pathologist, based in Mount Laurel, NJ. Amy Lake practices in Mount Laurel, NJ and has the professional credentials of SLP. The NPI Number for Amy Lake is 1609354943 and holds a License No. 41YS00861600 (NJ). The current practice location address for Amy Lake is 3900 Church RD, Mount Laurel, NJ 08054-1108 and can be reached out via phone at 800-774-5516 and via fax at 856-429-4755.
Provider Profile Details
- NPI Number
- 1609354943
- Provider Name
- Amy Lake
- Credential
- SLP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 3900 Church RD, Mount Laurel, NJ 08054-1108
- Phone Number
- 800-774-5516
- Fax Number
- 856-429-4755
- Primary Taxonomy
- Speech-Language Pathologist, · 235Z00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 30, 2018
- Last Update Date
- July 30, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3900 Church RD
Mount Laurel, NJ 08054-1108 - City
- Mount Laurel
- State
- New Jersey
- Zip
- 08054-1108
- Phone Number
- 800-774-5516
- Fax Number
- 856-429-4755
Provider Business Mailing Address Details
- Address
- 1255 Caldwell RD
Cherry Hill, NJ 08034-3220 - City
- Cherry Hill
- State
- NJ
- Zip
- 08034-3220
- Phone Number
- 800-774-5516
- Fax Number
- 856-429-4755
License Information
- Taxonomy (1)
- Speech-Language Pathologist, · 235Z00000X
- License Number (2)
- 41YS00861600
- License State (2)
- NJ
- Taxonomy (2)
- Speech-Language Pathologist, · 235Z00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Speech-Language Pathologist, providers near Mount Laurel, NJ
View all Speech-Language Pathologist, providers in Mount Laurel →- Alexandra C DornSpeech-Language Pathologist, · NPI 1972319168
- Alyssa-Lea Azeglio, CCC-SLPSpeech-Language Pathologist, · NPI 1760074090
- Amy L Heinz, MS CCC-SLPSpeech-Language Pathologist, · NPI 1922857184
- Arlene Lewis, MA, CCC-SLPSpeech-Language Pathologist, · NPI 1043625528
- Ashanti GuinnSpeech-Language Pathologist, · NPI 1033097134
- Barbara A Fuoco-Mccooley, MA, CCC-SLPSpeech-Language Pathologist, · NPI 1831467950
Frequently Asked Questions
What is the NPI number of Amy Lake, SLP?
The NPI number of Amy Lake, SLP is 1609354943. It was assigned on July 30, 2018 and is currently active in the NPPES registry.
What is the specialty of Amy Lake, SLP?
Amy Lake, SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS00861600.
Where does Amy Lake, SLP practice?
The practice location is 3900 Church RD, Mount Laurel, NJ 08054-1108. The office can be reached at 800-774-5516 (phone) or 856-429-4755 (fax).
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 1609354943 directly on the NPPES registry website.