National Provider Identifier

Kristin Leigh Gustason, MS, CCC-LSLP

Kristin Leigh Gustason, MS, CCC-LSLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Olean, NY and a listed phone number of (716) 307-8208.

NPI 1235445578Olean, NYSpeech-Language Pathologist

Profile Overview

NPI
1235445578
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
August 24, 2010
Last Updated
August 24, 2010

Practice Location

  • 1519 Walnut St
  • Olean, NY 14760-1362

Phone: (716) 307-8208

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1235445578
Entity Type
Individual
Last Name
Gustason
First Name
Kristin
Middle Name
Leigh
Name Prefix
Mrs.
Credential
MS, CCC-LSLP
Mailing Street Address
1519 Walnut St
Mailing City
Olean
Mailing State
NY
Mailing ZIP Code
14760-1362
Mailing Country
US
Mailing Phone
(716) 307-8208
Practice Street Address
1519 Walnut St
Practice City
Olean
Practice State
NY
Practice ZIP Code
14760-1362
Practice Country
US
Practice Phone
(716) 307-8208
Enumeration Date
August 24, 2010
Last Updated
August 24, 2010
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)