Individual provider · Type 1 NPI

Karen D. Lake, PhD

Clinical Psychologist · Columbia, SC

NPI number 1487622197 Active

Practice location

1 Windsor Cv, Suite 108
Columbia, SC 29223-1833

Fax (803) 699-8824

Mailing address

1012 Ballentine Rd
Blythewood, SC 29016-8346

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X000690 (SC)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1487622197

Karen D. Lake, PhD's National Provider Identifier is 1487622197, issued on Mar 9, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Columbia, SC. The record was last updated on Aug 8, 2007.