MRS. Alexis Marie Berta Gustafson, M.S., CCC-SLP

NPI #1013034545 in Oak Brook, Illinois

Provider Information

NPI Number
1013034545
Entity Type
Individual
Name
MRS. Alexis Marie Berta Gustafson, M.S., CCC-SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
M.S., CCC-SLP
Enumeration Date
Mar 22, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
19 SHEFFIELD LN
ZIP Code
60523-2353
Phone
(630) 842-7859

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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