Search › West Virginia › 235Z00000X
Stacy Bastin, MA CCC SLP
NPI 1174727283 · on the registry since 2007
Practice
- Address
- 765 Brightridge Dr
Bridgeport, WV 26330 - Phone
- (304) 844-0099
- Fax
- (304) 848-0265
- Organisation at this address
- Lakeside Therapy Group
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- WV
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia