National Provider Identifier
Michael Jon Lakin, PHD
Michael Jon Lakin, PHD is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Ithaca, NY and a listed phone number of (607) 275-3727.
Profile Overview
- NPI
- 1669558540
- Provider Type
- Individual
- Primary Specialty
- Clinical Psychologist
- Enumeration Date
- October 31, 2006
- Last Updated
- July 09, 2007
Practice Location
- 215 N Cayuga St
- Suite 223
- Ithaca, NY 14850-4329
Phone: (607) 275-3727
Mailing Address
- 215 N. Cayuga St.
- Box 30
- Ithaca, NY 14850-4329
Specialties
- Clinical Psychologist (103TC0700X)
Full Record
- NPI
- 1669558540
- Entity Type
- Individual
- Last Name
- Lakin
- First Name
- Michael
- Middle Name
- Jon
- Name Prefix
- Dr.
- Credential
- PHD
- Mailing Street Address
- 215 N. Cayuga St.
- Mailing Address Line 2
- Box 30
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-4329
- Mailing Country
- US
- Mailing Phone
- (607) 275-3727
- Mailing Fax
- (607) 275-3727
- Practice Street Address
- 215 N Cayuga St
- Practice Address Line 2
- Suite 223
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-4329
- Practice Country
- US
- Practice Phone
- (607) 275-3727
- Practice Fax
- (607) 275-3727
- Enumeration Date
- October 31, 2006
- Last Updated
- July 09, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Psychologist (103TC0700X)