Gustafson, Kaylie Marlene

Gustafson, Kaylie Marlene is an individual health care provider with primary practice located at 33985 Manta Ct , Dana Point CA 92629-4507. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Gustafson, Kaylie Marlene can be contacted via phone (949) 336-2569.

Contact Information

Primary practice address
33985 Manta Ct Dana Point CA 92629-4507
Phone: (949) 336-2569
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 26817 California

Profile Details

NPI number 1679073969
LBN Legal business name Gustafson, Kaylie Marlene
Credentials MA CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2018
Last updated Feb 26th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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