National Provider Identifier
Gretchen Gustavson, M.S., CCC-SLP
Gretchen Gustavson, M.S., CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Fairport, NY and a listed phone number of (585) 377-2230.
Profile Overview
- NPI
- 1003072869
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- July 31, 2008
- Last Updated
- July 31, 2008
Practice Location
- 149 N Main St
- Fairport, NY 14450-1434
Phone: (585) 377-2230
Mailing Address
- 83 Dartmouth St Apt 3
- Rochester, NY 14607-2826
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1003072869
- Entity Type
- Individual
- Last Name
- Gustavson
- First Name
- Gretchen
- Credential
- M.S., CCC-SLP
- Mailing Street Address
- 83 Dartmouth St Apt 3
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14607-2826
- Mailing Country
- US
- Mailing Phone
- (585) 749-2666
- Practice Street Address
- 149 N Main St
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-1434
- Practice Country
- US
- Practice Phone
- (585) 377-2230
- Enumeration Date
- July 31, 2008
- Last Updated
- July 31, 2008
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)