Lisa A. Bast, MS CCC SP
NPI #1336254804 in Marshfield, Wisconsin
Provider Information
- NPI Number
- 1336254804
- Entity Type
- Individual
- Name
- Lisa A. Bast, MS CCC SP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MS CCC SP
- Enumeration Date
- Aug 21, 2006
- Last Updated
- Nov 17, 2022
Practice Location
- Address
- 1000 N OAK AVE
- City
- Marshfield
- State
- Wisconsin
- ZIP Code
- 54449-5703
- Phone
- (715) 389-3469
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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