Judith Ann Bastean, MA
Audiologist in Fulton, MO. Individual provider (NPI-1).
NPI number1043394331
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1043394331
- Entity type
- Individual (NPI-1)
- Name
- Judith Ann Bastean
- Credential
- MA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 24, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 231H00000X | Audiologist | 01159 | MO | Yes |
Practice location
850 West Hospital DriveSuite A
Fulton, MO 65251-5147
Phone 573-592-0337 · Fax 573-592-0711
Mailing address
4499 County Road 351Fulton, MO 65251-5147
Phone 573-642-0337 · Fax 573-592-0711
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