LAKESIDE THERAPY GROUP
NPI 1033312574
Speech-Language Pathologist in Bridgeport, WV

Q: What is Lakeside Therapy Group's NPI number?

The NPI number for Lakeside Therapy Group is 1033312574. It was assigned to this organization in the NPPES registry on June 11, 2007.

Q: What is Lakeside Therapy Group's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Active since June 11, 2007

765 BRIGHTRIDGE DRIVE, BRIDGEPORT, WV 26330(304) 844-0099(304) 848-0265 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lakeside Therapy Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKESIDE THERAPY GROUP (NPI 1033312574) is a healthcare organization registered as a speech-language pathologist in Bridgeport, West Virginia and active in the NPI registry since June 2007. The organization lists Stacy Elizabeth Bastin, Member Speech Therapist, as its authorized official.

NPPES Registry Identity

NPI1033312574

Entity TypeOrganization

Primary Taxonomy235Z00000X

Legal Business NameLAKESIDE THERAPY GROUP

Location Address765 BRIGHTRIDGE DRIVEBridgeport, WV 26330

Mailing Address765 Brightridge DriveBridgeport, WV 26330 · (304) 844-0099 · Fax (304) 848-0265

Phone(304) 844-0099

Fax(304) 848-0265

Organization SubpartNo

Authorized OfficialStacy Elizabeth BastinMember Speech Therapist · (304) 844-0099

Enumeration DateJune 11, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1033312574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in WV · SLP 0710

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

765 BRIGHTRIDGE DRIVE, Bridgeport, WV 26330

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakeside Therapy Group's NPI number?

The NPI number for Lakeside Therapy Group is 1033312574. It was assigned to this organization in the NPPES registry on June 11, 2007.

Where is Lakeside Therapy Group located?

Lakeside Therapy Group is located at 765 Brightridge Drive, Bridgeport, WV 26330. The listed phone number is (304) 844-0099.

What is Lakeside Therapy Group's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Lakeside Therapy Group was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.