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

Melissa Ann Lake, PSYD

Individual provider Psychologist · NPI 1003204827

Melissa Ann Lake, PSYD is a Psychologist in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2014
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

4552 W Cottontail Rd
Phoenix, AZ 85086-1449
Phone: (201) 232-9916
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X (AZ)

Record details

NPI number1003204827
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedDecember 31, 2014
Last updated in NPPESJuly 21, 2022

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