Individual
STEPHANIE BASU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 W CROSS ST APT 326, BALTIMORE, MD 21230-3669
(973) 652-7735
Mailing address
101 W CROSS ST APT 326, BALTIMORE, MD 21230-3669
(973) 652-7735
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
NY
Other
Enumeration date
03/01/2011
Last updated
09/12/2024
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