Kaylie Marlene Gustafson, MA CCC-SLP
NPI #1679073969 in Dana Point, California
Provider Information
- NPI Number
- 1679073969
- Entity Type
- Individual
- Name
- Kaylie Marlene Gustafson, MA CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MA CCC-SLP
- Enumeration Date
- Feb 14, 2018
- Last Updated
- Feb 26, 2024
Practice Location
- Address
- 33985 MANTA CT
- City
- Dana Point
- State
- California
- ZIP Code
- 92629-4507
- Phone
- (949) 336-2569
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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