Individual
KAITLIN BRADEN BASTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC SLP
Contact information
Practice address
1010 S KING ST STE B6, HONOLULU, HI 96814-1700
(808) 593-0030
Mailing address
1010 S KING ST STE B6, HONOLULU, HI 96814-1700
(303) 593-0030
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-2188
HI
Other
Enumeration date
12/27/2022
Last updated
12/27/2022
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