Provider Demographics
NPI:1184503856
Name:LASKOWSKI, SARAH MICHELLE (CF-SLP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:MICHELLE
Last Name:LASKOWSKI
Suffix:
Gender:X
Credentials:CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 HARTMAN LN
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:IL
Mailing Address - Zip Code:62298-1861
Mailing Address - Country:US
Mailing Address - Phone:618-340-6416
Mailing Address - Fax:
Practice Address - Street 1:533 N 6TH ST
Practice Address - Street 2:
Practice Address - City:MASCOUTAH
Practice Address - State:IL
Practice Address - Zip Code:62258-1198
Practice Address - Country:US
Practice Address - Phone:618-340-6416
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL242.008214235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist