NPI 1003072869

Gretchen Gustavson, MSCCCSLP

Practitioner Speech-Language Pathologist Fairport, NY

Practice location

Address: 149 N Main St, Fairport, NY 14450-1434
Phone: (585) 377-2230
Mailing address: 83 Dartmouth St APT 3, Rochester, NY 14607-2826

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 014227 (NY)

Other Speech-Language Pathologist providers in New York →

Registry record

NPI: 1003072869
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Jul 2008
Record last updated: 31 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.