AMANDA JEAN BASTING

MAHOPAC, NY
NPI1063995934
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: CT  004650)
Enumeration Date2018-09-07
Last Update Date2018-09-07
Business Address
Mrs. AMANDA JEAN BASTING M.S. CCC-SLP
572 US 6
MAHOPAC, NY 10541
Phone number: 845-519-2295
Mailing Address
Mrs. AMANDA JEAN BASTING M.S. CCC-SLP
103 ROUTE 39 S
SHERMAN, CT 06784-2317
Phone number: 845-797-8998
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