Provider Demographics
NPI:1912000431
Name:LASHER, MICHAEL PATRICK (PHD, LCP, CSOTP)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:PATRICK
Last Name:LASHER
Suffix:
Gender:M
Credentials:PHD, LCP, CSOTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12033 BEAVER SPRING CT
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-3166
Mailing Address - Country:US
Mailing Address - Phone:570-510-5694
Mailing Address - Fax:
Practice Address - Street 1:4901 E PATRICK HENRY HWY
Practice Address - Street 2:
Practice Address - City:BURKEVILLE
Practice Address - State:VA
Practice Address - Zip Code:23922-3454
Practice Address - Country:US
Practice Address - Phone:434-767-7828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2020-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
57004103TH0100X
VA0810006359103TC0700X
MI6301016754103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical