Provider Demographics
NPI:1548496961
Name:SANCHEZ, LARISA ROXANNE (MS)
Entity type:Individual
Prefix:MS
First Name:LARISA
Middle Name:ROXANNE
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:LARISA
Other - Middle Name:
Other - Last Name:KLAPPERICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15 SOUTH GRADY WAY #336
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057
Mailing Address - Country:US
Mailing Address - Phone:425-988-3744
Mailing Address - Fax:425-687-2646
Practice Address - Street 1:15 SOUTH GRADY WAY #336
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057
Practice Address - Country:US
Practice Address - Phone:425-988-3744
Practice Address - Fax:425-687-2646
Is Sole Proprietor?:No
Enumeration Date:2009-06-01
Last Update Date:2015-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3502235Z00000X
WALL60459783235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist