National Provider Identifier
Tasha Johanna Lais, MS, CCC-SLP/L
Tasha Johanna Lais, MS, CCC-SLP/L is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Rochester, NY and a listed phone number of (585) 409-5173.
Profile Overview
- NPI
- 1952548968
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- January 13, 2009
- Last Updated
- January 13, 2009
Practice Location
- 3537 Lake Ave
- Rochester, NY 14612-5428
Phone: (585) 409-5173
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1952548968
- Entity Type
- Individual
- Last Name
- Lais
- First Name
- Tasha
- Middle Name
- Johanna
- Name Prefix
- MS.
- Credential
- MS, CCC-SLP/L
- Mailing Street Address
- 3537 Lake Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14612-5428
- Mailing Country
- US
- Mailing Phone
- (585) 409-5173
- Practice Street Address
- 3537 Lake Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14612-5428
- Practice Country
- US
- Practice Phone
- (585) 409-5173
- Enumeration Date
- January 13, 2009
- Last Updated
- January 13, 2009
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)