Provider Demographics
NPI:1730376187
Name:LASTER, SHERRI SUSAN (LPC)
Entity type:Individual
Prefix:MS
First Name:SHERRI
Middle Name:SUSAN
Last Name:LASTER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 W VALLEY FORGE CIR
Mailing Address - Street 2:APARTMENT 746
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-1110
Mailing Address - Country:US
Mailing Address - Phone:610-247-4380
Mailing Address - Fax:
Practice Address - Street 1:2091 EAST HIGH STREET
Practice Address - Street 2:
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464
Practice Address - Country:US
Practice Address - Phone:610-970-5234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-01
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004679101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional