Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lakeside Therapy Group

Organization Speech-Language Pathologist · NPI 1033312574

Lakeside Therapy Group is a Speech-Language Pathologist in Bridgeport, West Virginia. Licensed in West Virginia. Registered with an NPI since 2007.

Licensed in
WV
In the registry since
2007

Practice location Address checks out

765 Brightridge Dr
Bridgeport, WV 26330
Phone: (304) 844-0099
Fax: (304) 848-0265
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP 0710 (WV)

Record details

NPI number1033312574
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacy Bastin — Member Speech Therapist · (304) 844-0099
NPI enumeratedJune 11, 2007
Last updated in NPPESAugust 22, 2020
Mailing address765 Brightridge Drive, Bridgeport, WV 26330

Other providers in Bridgeport