Provider Demographics
NPI:1336752864
Name:LASLO, SARAH KAITLYN (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:KAITLYN
Last Name:LASLO
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:KAITLYN
Other - Last Name:CHRISTOFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:4446 MCPHERSON AVE UNIT A
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63108-2504
Mailing Address - Country:US
Mailing Address - Phone:314-226-3434
Mailing Address - Fax:
Practice Address - Street 1:7898 VETERANS MEMORIAL PKWY
Practice Address - Street 2:
Practice Address - City:SAINT PETERS
Practice Address - State:MO
Practice Address - Zip Code:63376-5910
Practice Address - Country:US
Practice Address - Phone:636-474-8676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-25
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2020027267235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist