Organization
ROBERT BASTANFAR PHD LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BASTANFAR PHD (PSYCHOLOGIST)
(517) 749-1356
Entity
Organization
Contact information
Practice address
4660 MARSH RD, ROOM 28, OKEMOS, MI 48864-2143
(517) 749-1356
Mailing address
4660 MARSH RD, ROOM 28, OKEMOS, MI 48864-2143
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
06/09/2014
Last updated
07/31/2020
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