Wellformed AI

NPI 1467205641 · live from the CMS NPI Registry

Amanda Maureen Bastian

Speech-Language Pathologist, in Miles City, MT. National Provider Identifier 1467205641, active.

NPI record

NPI1467205641 Type 1 · individual
StatusActive
Primary specialtySpeech-Language Pathologist, 235Z00000X
Practice location205 S Haynes Ave, Miles City, MT 59301
Practice phone406-233-4327
EnumeratedApril 8, 2024
Last updatedSeptember 18, 2024
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Speech-Language Pathologist, primary235Z00000X4962 (MT)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.