Provider Demographics
NPI:1629565197
Name:HARPSTER, BASIRA APRIL (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:BASIRA
Middle Name:APRIL
Last Name:HARPSTER
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:660 MEGAN LN
Mailing Address - Street 2:
Mailing Address - City:SHIPMAN
Mailing Address - State:VA
Mailing Address - Zip Code:22971-2534
Mailing Address - Country:US
Mailing Address - Phone:434-263-6769
Mailing Address - Fax:
Practice Address - Street 1:104 VSDB DRIVE
Practice Address - Street 2:101 PEERY HALL
Practice Address - City:STAUNTON
Practice Address - State:VA
Practice Address - Zip Code:24401
Practice Address - Country:US
Practice Address - Phone:540-332-9056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-19
Last Update Date:2018-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202003395235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist