NPI 1043631609

Nicoletta Vasta Gustafson

Practitioner Speech-Language Pathologist Medfield, MA

Practice location

Address: 2 Icehouse Rd, Medfield, MA 02052-1555
Phone: (508) 242-9478
Fax: (508) 242-9489
Mailing address: 2 Laurel Ave, Wellesley, MA 02481-7523

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 2676 (MA)

Other Speech-Language Pathologist providers in Massachusetts →

Registry record

NPI: 1043631609
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Dec 2013
Record last updated: 30 Dec 2013

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.