Individual provider · Type 1 NPI

Caryn Melissa Lake, M.S., CCC-SLP

Speech-Language Pathologist · Tracy, CA

NPI number 1083527121 Active

Practice location

350 E Mount Diablo Ave
Tracy, CA 95376-4621

Mailing address

1020 W 4th St
Ripon, CA 95366-2315

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X29867 (CA)

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 1083527121

Caryn Melissa Lake, M.S., CCC-SLP's National Provider Identifier is 1083527121, issued on Sep 28, 2026. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Tracy, CA. The record was last updated on Sep 28, 2026.