JAMES E LAKE, MA, PC, ATR, Mental Health FAIRLAWN, OH

Contact Information

JAMES E LAKE, MA, PC, ATR

843 N CLEVELAND MASSILLON RD
FAIRLAWN, OH 44333-2184

Phone: 330-723-7977
Fax: 330-239-8599
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Mental Health	101YM0800X
Art Therapist	221700000X

Indicates primary specialty

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NPI Profile & details for JAMES E LAKE · (Male)

NPI Number	`1801556899`
Status	Active
Credentials	MA, PC, ATR
Entity	Individual
Enumeration date	12/18/2021
Last updated	12/18/2021 - About 4 years ago
Sole proprietor ¹	Yes
Identifiers	OH License # 21-169 OH License # C.0008277
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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