Individual
ABBIGAIL EMILIE LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS/CCC-SLP
Contact information
Practice address
1820 OAKVIEW RD, ASHLAND, KY 41101-3677
(606) 325-5200
Mailing address
536 OLD HOWELL RD, GREENVILLE, SC 29615-1969
(877) 508-3237
(877) 508-8714
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPLPA00210182
KY
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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