Individual
DARA L BASSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
4452 37TH ST APT 5, SAN DIEGO, CA 92116-4663
(917) 830-3284
Mailing address
4452 37TH ST APT 5, SAN DIEGO, CA 92116-4663
(917) 830-3284
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
41YS01030500
NJ
235Z00000X
Speech-Language Pathologist
O1-0012153
NJ
235Z00000X
Speech-Language Pathologist
Primary
SP31597
CA
Other
Enumeration date
03/10/2023
Last updated
03/10/2023
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