Suzanne M Bastian
Individual provider Active NPI Speech-Language Pathologist · Bryan, TX
NPI 1023770419 · NPPES record last updated Oct 12, 2021
Key facts
- NPI
- 1023770419
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 1201 Ridgedale St
Bryan, TX 77803-3722 - Phone
- (979) 209-2780
- NPI assigned
- Oct 12, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | TX | Yes |
Addresses
Primary practice location
1201 Ridgedale St
Bryan, TX 77803-3722
Mailing address
1217 Marsteller Ave
College Station, TX 77840-2518
Phone (979) 229-9104
Other providers in Bryan, TX
- Troy Edward Barnes
- Ashley Nicole Barr
- Daniel Wayne Barringer
- Catherine Barrow
- Justin B. Barrow
- Bennie B Batson
- Latomia Batts
- Porsha Evette Batts
- Laura Bauer
- Alexandra Kristan Baxley
All providers in Bryan, TX · Speech-Language Pathologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.