Jennifer Gornto Lake, MS, CCC-SLP

Speech-language pathologist in San Antonio, Texas · NPI 1396524286

Jennifer Lake is one of 38 speech-language pathologists practicing in San Antonio, Texas. Jennifer Lake practices with Rise Up Rehab, LLC.

Registry record (NPPES)

NPI
1396524286
Type
Type 1 · Individual
Primary taxonomy
Speech-Language Pathologist · 235Z00000X
Address on file
16400 Blanco Rd
San Antonio, TX 78232-1902
(210) 540-8288
Enumerated
Sep 28, 2023
Record last updated
Sep 28, 2023
License states listed
TX

Medicare (CMS)

Enrollment
Medicare-enrolled in TX
Qualified Speech Language Pathologist
Revalidation due
No date set by CMS

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Practice locations

More speech-language pathologists in San Antonio

Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.