Individual
DR. MONICA LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, NCSP
Contact information
Practice address
130 E BLOOMINGDALE AVE, BRANDON, FL 33511-8101
(813) 444-8760
Mailing address
130 E BLOOMINGDALE AVE, BRANDON, FL 33511-8101
(813) 444-8760
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY10384
FL
Other
Enumeration date
12/23/2016
Last updated
12/08/2025
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