National Provider Identifier Database

STEPHANIE J LAKE, CATC – NPI #1891058947
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

STEPHANIE J LAKE, CATC
ONE SHIELDS AVE
UC DAVIS STUDENT HEALTH AND COUSELING SERVICES
DAVIS, CA95616
Phone: 530-752-6334
Fax: 530-752-4252
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for STEPHANIE J LAKE

NPI Number 1891058947
Credentials CATC
Entity Individual
Enumeration date 06/22/2012
Last updated 06/22/2012 - About 14 years ago
Sole proprietor1 Yes
Identifiers
  • CA License #: CATC #091698
Hospital affiliation n/a

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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