Provider Demographics
NPI:1073775631
Name:LASKER, SONYA-PRAJNA (MS, CCC/SLP)
Entity Type:Individual
Prefix:
First Name:SONYA-PRAJNA
Middle Name:
Last Name:LASKER
Suffix:
Gender:F
Credentials:MS, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9307 4TH AVE W
Mailing Address - Street 2:UNIT B
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98204-7132
Mailing Address - Country:US
Mailing Address - Phone:425-280-7406
Mailing Address - Fax:
Practice Address - Street 1:9307 4TH AVE W
Practice Address - Street 2:UNIT B
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98204-7132
Practice Address - Country:US
Practice Address - Phone:425-280-7406
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-25
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL00004042235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist