Individual provider · NPI-1

Sonia Basta

Speech-Language Pathologist, · Saint Clair Shores, MI

NPI number1760975205
StatusActive
Last updated in NPPESJun 10, 2018

Details

NPI
1760975205
Entity type
Individual (NPI-1)
Name
Sonia Basta
Sex
Female
Sole proprietor
No
Enumeration date
Jun 10, 2018
Last updated
Jun 10, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,7101005029MIYes

Practice location

23101 Stadium Dr
Saint Clair Shores, MI 48080-3208

Phone 586-435-1600

Mailing address

5128 Crestmont Dr
Troy, MI 48098-5309

Phone 248-703-2236

Other practice locations

36475 Five Mile Rd
Livonia, MI 48154-1971

Phone 734-655-4800

44738 Morley Dr
Clinton Township, MI 48036-1357

Phone 586-598-4379

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