Organization
DR. MONICA LAKE, PLLC
Active
Other names
Dr. Monica Lake, PLLC, Dr. Lake & Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONICA LAKE PSYD (OWNER)
(813) 444-8760
Entity
Organization
Contact information
Practice address
130 E BLOOMINGDALE AVE, BRANDON, FL 33511-8101
(813) 444-8760
(813) 437-1432
Mailing address
130 E BLOOMINGDALE AVE, BRANDON, FL 33511-8101
(813) 444-8760
(813) 437-1432
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
04/06/2020
Last updated
01/21/2026
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