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Contact Information

GLENDA L BASISTA, MS CCC SLP
124 LYNNWOOD AVE
BELLE VERNON, PA15012-2202
 Phone: 724-930-7401
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for GLENDA L BASISTA · (Female)

NPI # 1477899730
Status Active
Credentials MS CCC SLP
Entity Individual
Enumeration date 12/13/2012
Last updated 12/13/2012 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • PA License # SL004321L
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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