DR. TANNEN STAHLEY-LAKE PSYD
NPI 1760482541
Psychologist in Indiana, PA

Active since July 22, 2005
163 PLAZA RD, INDIANA, PA 15701(724) 465-2311(724) 465-2339 Get Directions Write a Review

NPPES record last updated: April 30, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Tannen Stahley-lake Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TANNEN STAHLEY-LAKE PSYD (NPI 1760482541) is an individual psychologist in Indiana, Pennsylvania, licensed in Pennsylvania (PS015411) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1760482541
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. TANNEN STAHLEY-LAKECredential: PSYD
Location Address163 PLAZA RDIndiana, PA 15701-3264
Mailing Address163 Plaza RdIndiana, PA 15701-3264 · (724) 465-2311 · Fax (724) 465-2339
Fax(724) 465-2339
Sole ProprietorYes
Enumeration DateJuly 22, 2005
Last NPPES UpdateApril 30, 2014
NPI 1760482541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in PA · PS015411
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of 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; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
163 PLAZA RD, Indiana, PA 15701

Other Identifiers 2

OtherST1500807Bs#
Medicare UPINP95896

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
163 PLAZA RD
INDIANA, PA 15701
Counselor (Mental Health)
163 PLAZA RD
INDIANA, PA 15701
Counselor (Professional)
163 PLAZA RD
INDIANA, PA 15701
Counselor
163 PLAZA RD
INDIANA, PA 15701
Counselor
163 PLAZA RD
INDIANA, PA 15701
Psychologist (Clinical)
163 PLAZA RD
INDIANA, PA 15701
Counselor (Mental Health)
163 PLAZA RD
INDIANA, PA 15701
Counselor (Mental Health)
163 PLAZA RD
INDIANA, PA 15701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tannen Stahley-lake's NPI number?

The NPI number for Tannen Stahley-lake is 1760482541. It was assigned to this individual provider in the NPPES registry on July 22, 2005.

Where is Tannen Stahley-lake located?

Tannen Stahley-lake practices at 163 Plaza Rd, Indiana, PA 15701. The listed phone number is (724) 465-2311.

What is Tannen Stahley-lake's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Tannen Stahley-lake was last updated on April 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.