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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 Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for STEPHANIE J LAKE · (Female)

NPI # 1891058947
Status Active
Credentials CATC
Entity Individual
Enumeration date 06/22/2012
Last updated 06/22/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # CATC #091698
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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