Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake Psychological Services

Organization Clinical Psychologist · NPI 1598136665

Lake Psychological Services is a Clinical Psychologist in Indiana, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2015.

Licensed in
PA
In the registry since
2015
Specialties on file
3

Practice location Address checks out

163 Plaza Rd
Indiana, PA 15701-3264
Phone: (724) 465-2311
Fax: (724) 465-2339
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PS015411 (PA)
Clinical Psychologist Taxonomy 103TC0700X · Licence PS017929 (PA)
Clinical Social Worker Taxonomy 1041C0700X · Licence CW017359 (PA)

Record details

NPI number1598136665
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tannen Stahley-Lake — Psychologist · (724) 465-2311
NPI enumeratedOctober 14, 2015
Last updated in NPPESOctober 14, 2015
Mailing address163 Plaza Rd, Indiana, PA 15701-3264

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