Provider Demographics
NPI:1790033884
Name:PASKER, LAURA ANNE (MA)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:ANNE
Last Name:PASKER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 107TH AVE STE 13
Mailing Address - Street 2:
Mailing Address - City:TREASURE ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33706-4744
Mailing Address - Country:US
Mailing Address - Phone:727-954-3908
Mailing Address - Fax:727-954-3945
Practice Address - Street 1:151 107TH AVE STE 13
Practice Address - Street 2:
Practice Address - City:TREASURE ISLAND
Practice Address - State:FL
Practice Address - Zip Code:33706-4744
Practice Address - Country:US
Practice Address - Phone:727-954-3908
Practice Address - Fax:727-954-3945
Is Sole Proprietor?:No
Enumeration Date:2012-08-21
Last Update Date:2018-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
FLMH15380101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health