Individual
DR. KATI NICOLE LAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, MS, MA, MPHIL
Contact information
Practice address
224 BROADVIEW AVE, NEW ROCHELLE, NY 10804-4145
(740) 296-0220
Mailing address
224 BROADVIEW AVE, NEW ROCHELLE, NY 10804-4145
(740) 296-0220
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
027787
NY
Other
Enumeration date
12/09/2025
Last updated
12/09/2025
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