Individual
DR. LATOSHA RAMOS LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1201 MAGNOLIA CT STE 117, MOORE, OK 73160-1433
(405) 309-1345
(866) 394-8572
Mailing address
1201 MAGNOLIA CT STE 117, MOORE, OK 73160-1433
(405) 309-1345
(866) 394-8572
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
0005695
CO
103TC0700X
Clinical Psychologist
Primary
1449
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2014
Last updated
04/23/2026
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