Provider Type Icon

LAKE PSYCHOLOGICAL SERVICES NPI 1598136665


NPI Information

NPI: 1598136665
Provider Name: LAKE PSYCHOLOGICAL SERVICES
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
163 PLAZA RD
INDIANA, PA
ZIP 15701
Phone: (724) 465-2311
Get Directions

LAKE PSYCHOLOGICAL SERVICES is a clinical psychologist in Indiana, PA. The provider is 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 breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. LAKE PSYCHOLOGICAL SERVICES NPI is 1598136665. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

163 PLAZA RD
INDIANA, PA
ZIP 15701-264
Phone: (724) 465-2311
Fax: (724) 465-2339

The provider's authorized official is Tannen Stahley-lake .
The authorized official title is Psychologist and has the following contact phone number (724) 465-2311.

The enumeration date for this NPI number is 10/14/2015 and was last updated on 10/14/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinicalPS017929PENNSYLVANIANo
21041C0700XSocial WorkerClinicalCW017359PENNSYLVANIANo
3103TC0700XPsychologistClinicalPS015411PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.