Joslin Lake, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5992 Issued in NC

Practice address

250 Fairview Rd
Thousand Oaks, CA 91361-2456

Phone

(805) 494-1233

NPI assigned

Mar 23, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1396862264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 N VERDUGO RD APT 162",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912082939",
            "telephone_number": "919-522-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 FAIRVIEW RD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913612456",
            "telephone_number": "805-494-1233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1795 Westchester Dr",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272627008",
            "country_code": "US",
            "telephone_number": "336-884-6098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAKE",
        "first_name": "JOSLIN",
        "name_prefix": "Ms.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "22122",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "5992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sari Lada, DO
• Ladan Naddafi DDS Inc
• Lags Spine and Sportscare Medical Centers, Inc
• Mandy Lai
• McKenzie Laird
• Lakeside Medical Associates, a Medical Group, Inc.
• Jonathan Lalezari
• Kin CHI Lam, DO
• Susan Gay Lamb, LMFT
• Lambridis Dental Corporation

• Speech-Language Pathologist in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.