Lakeside Therapy Group

NPI #1033312574 in Bridgeport, West Virginia

Provider Information

NPI Number
1033312574
Entity Type
Organization
Organization Name
Lakeside Therapy Group
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Jun 11, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
765 BRIGHTRIDGE DRIVE
ZIP Code
26330
Phone
(304) 844-0099

Authorized Official

Name
MRS. STACY ELIZABETH BASTIN, MA CCC SLP
Title
MEMBER SPEECH THERAPIST
Phone
(304) 844-0099

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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