Eileen Lake, MFTLICENSE41076
Eileen Lake, MFTLICENSE41076 is a Marriage and Family Therapist in Woodland Hills, California. Qualified in 1999, 27 years ago. Practices with Silver Lake Psychology Inc, a 22-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 27
- Licensed in
- CA
- In the registry since
- 2023
Practice location Address checks out
4577 Winnetka AveWoodland Hills, CA 91364-4613
Phone: (818) 307-0554
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X · Licence 41076 (CA) |
|---|
Record details
| NPI number | 1306545686 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MFTLICENSE41076 |
| Sole proprietor | Yes |
| NPI enumerated | February 27, 2023 |
| Last updated in NPPES | February 27, 2023 |
| Certification date | February 26, 2023 |
Medicare enrollment
| Medicare specialty | MARRIAGE AND FAMILY THERAPIST |
|---|---|
| Medical school | OTHER |
| Graduated | 1999 (27 years in practice) |
| Group practice | Silver Lake Psychology Inc — 22 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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