Doctor Name: | MS. SANDY SHANIN LASAROW |
NPI Number: | 1952598989 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., C.C.C. |
License Number: | 4305 |
Business Practice Address: | 231 Cedar Heights Dr Thousand Oaks, CA - 913601756 |
Business Phone Number: | 8054928899 |
Business Fax Number: | 8054926839 |
Mailing Address: | 231 Cedar Heights Dr, THOUSAND OAKS |
State: | CA |
Postal Code: | 913601756 |
Phone Number: | 8054928899 |
Fax Number: | 8054926839 |
NPI Enumeration Date: | 10/03/2007 |
NPI Last Update Date: | 10/03/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4305 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |