Individual
SANDRA KASTANTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
125 SUTTON RD, NEEDHAM, MA 02492-3214
(443) 878-6981
Mailing address
935 GREAT PLAIN AVE # 297, NEEDHAM, MA 02492-3031
(781) 205-9297
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
06296
MD
235Z00000X
Speech-Language Pathologist
Primary
76669-SP-SL
MA
Other
Enumeration date
07/30/2010
Last updated
04/29/2020
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