Vasta Gustafson, Nicoletta

Vasta Gustafson, Nicoletta is an individual health care provider with primary practice located at 2 Icehouse Rd , Medfield MA 02052-1555. 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. Vasta Gustafson, Nicoletta can be contacted via phone (508) 242-9478.

Contact Information

Primary practice address
2 Icehouse Rd Medfield MA 02052-1555
Fax: (508) 242-9489
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2676 Massachusetts

Profile Details

NPI number 1043631609
LBN Legal business name Vasta Gustafson, Nicoletta
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2013
Last updated Dec 30th, 2013 - about 13 years ago

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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