Individual provider · Type 1 NPI
Joseph Mychaylo Lake, CCC-SLP
Speech-Language Pathologist · Albany, OR
Practice location
385 Timber Ridge St NE
Albany, OR 97322-7425
Mailing address
650 1st Ave SE # 202
Albany, OR 97321-2744
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 17554 (OR) |
Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…
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About NPI 1063399095
Joseph Mychaylo Lake, CCC-SLP's National Provider Identifier is 1063399095, issued on Aug 20, 2025. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Albany, OR. The record was last updated on Aug 25, 2025.