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

MS. Amanda Marie Lake, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1184954000

MS. Amanda Marie Lake, MACCC-SLP is a Speech-Language Pathologist in Dewitt, Michigan. Practices as a sole proprietor. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

124 E Washington St Ste C
Dewitt, MI 48820-8826
Phone: (517) 282-7779
Fax: (517) 394-3604
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1184954000
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorYes
NPI enumeratedDecember 29, 2009
Last updated in NPPESJuly 10, 2025
Certification dateJuly 10, 2025

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