Elaine Lake, MACCC-SLP
Elaine Lake, MACCC-SLP is a Speech-Language Pathologist in Salt Lake City, Utah. Practices as a sole proprietor. Licensed in Utah.
- Licensed in
- UT
- In the registry since
- 2007
Practice location Address checks out
50 N Medical DrSalt Lake City, UT 84132-0001
Phone: (801) 581-2635
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence 6552204-4102 (UT) |
|---|
Record details
| NPI number | 1558566026 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MACCC-SLP |
| Sole proprietor | Yes |
| NPI enumerated | June 15, 2007 |
| Last updated in NPPES | July 8, 2007 |
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