Individual provider · Type 1 NPI

Gretchen Gustavson, M.S., CCC-SLP

Speech-Language Pathologist · Fairport, NY

NPI number 1003072869 Active

Practice location

149 N Main St
Fairport, NY 14450-1434

Mailing address

83 Dartmouth St Apt 3
Rochester, NY 14607-2826

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X014227 (NY)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1003072869

Gretchen Gustavson, M.S., CCC-SLP's National Provider Identifier is 1003072869, issued on Jul 31, 2008. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Fairport, NY. The record was last updated on Jul 31, 2008.