Individual
MRS. CAROL ELAINE BASTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-SLP
Contact information
Practice address
3800 SUMMIT GLEN RD, DAYTON, OH 45449-3647
(937) 436-2273
(937) 433-1842
Mailing address
4 QUEENS CT, WEST CHESTER, OH 45069-2429
(937) 436-2273
(937) 433-1842
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4126-SP
OH
Other
Enumeration date
08/16/2007
Last updated
08/16/2007
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