Provider Demographics
NPI:1215982160
Name:SAJESKI, LAURA PEREZ (MA,CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:PEREZ
Last Name:SAJESKI
Suffix:
Gender:F
Credentials:MA,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5344 WINFREE DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32812-8227
Mailing Address - Country:US
Mailing Address - Phone:407-658-0667
Mailing Address - Fax:
Practice Address - Street 1:5344 WINFREE DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32812-8227
Practice Address - Country:US
Practice Address - Phone:407-658-0667
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-22
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA6130235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist