Individual
AMANDA MAUREEN BASTIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 S HAYNES AVE, MILES CITY, MT 59301-4779
(406) 233-4327
Mailing address
205 S HAYNES AVE, MILES CITY, MT 59301-4779
(406) 233-4327
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4962
MT
Other
Enumeration date
04/08/2024
Last updated
09/18/2024
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