Individual
GLORIA BASTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
606 S 7TH ST, FOREST CITY, IA 50436-2032
(641) 585-2232
Mailing address
435 S 9TH ST, FOREST CITY, IA 50436-1948
(641) 420-1280
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
107453
IA
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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