Provider Demographics
NPI:1407618820
Name:LAKIN, ASHLEY E
Entity Type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:E
Last Name:LAKIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1118 WATERLOO ST APT 1
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90026-3054
Mailing Address - Country:US
Mailing Address - Phone:805-367-6760
Mailing Address - Fax:
Practice Address - Street 1:601 S GLENOAKS BLVD STE 204
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-2775
Practice Address - Country:US
Practice Address - Phone:818-371-0199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-30
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA83192355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant