Provider Demographics
NPI:1205071958
Name:JUDY B LASHER PSY D INC
Entity type:Organization
Organization Name:JUDY B LASHER PSY D INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:B
Authorized Official - Last Name:LASHER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:941-323-4043
Mailing Address - Street 1:405 JULIA PL
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34236-6915
Mailing Address - Country:US
Mailing Address - Phone:941-323-4043
Mailing Address - Fax:941-378-5808
Practice Address - Street 1:405 JULIA PL
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236-6915
Practice Address - Country:US
Practice Address - Phone:941-323-4043
Practice Address - Fax:941-378-5808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-10
Last Update Date:2008-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY4416103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL73718Medicare PIN