Dr. Candice M Lake is a Grand Rapids, Michigan based psychologist who is specialized in General Psychology. Active license number of Dr. Candice M Lake is 01-07-3561 in Michigan. Her current practice location is 1260 Ekhart St Ne, Grand Rapids. Patients can reach her at 616-965-3470. Dr. Candice M Lake is BCBA-D, LLP in General Psychology and her NPI number (Unique professional ID assigned by NPPES) is 1285918193. Dr. Candice M Lake is specialized in psychological testing and evaluating or assessing patient's personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning. Accordingly, she performs counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy. She can diagnose and treat mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability by psycheducational evaluation, therapy, remediation, and consultation.
Complete Profile:
Dr. Candice M Lake speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Dr. Candice M Lake
Specialization:
General Psychology
Gender:
Female
Credentials:
BCBA-D, LLP
Practice Address:
1260 Ekhart St Ne, Grand Rapids, Michigan, 49503-1380
Phone:
616-965-3470
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1285918193
NPI Enumeration Date:
11 Oct, 2011
NPI Last Update On:
21 Mar, 2016
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Candice M Lake are as mentioned below.
License Number
Specialization
State
Status
01-07-3561
Michigan
Primary
6301016173
General Psychology
Michigan
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Candice M Lake such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
10025695700
Medicaid
Nebraska
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Dr. Candice M Lake 3300 36th St Se, Grand Rapids, Michigan
Zip:
49512-2810
Phone Number:
616-965-3470
Patients can reach Dr. Candice M Lake at 1260 Ekhart St Ne, Grand Rapids, Michigan or can call to book an appointment on 616-965-3470.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.