Grace Raissa Gustafson in Thompson - Speech-language Pathologist
Grace Raissa Gustafson - NPI 1972656122
Grace Raissa Gustafson is a Speech-language Pathologist in Thompson, Connecticut. Grace Raissa Gustafson practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Grace Raissa Gustafson is 1972656122. The last update date is 2007-07-08.
Grace Raissa Gustafson's current location address is 359 West Thompson Rd, Thompson, Connecticut. You can contact this provider via phone number 8609630267. The mailing address for Grace Raissa Gustafson is 359 West Thompson Rd, Thompson, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Grace Raissa Gustafson |
|---|---|
| Address | 359 West Thompson Rd, Thompson, Connecticut |
| Phone Number | 8609630267 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MS CCC SLP |
NPI Number Detail
| NPI Number | 1972656122 |
|---|---|
| Provider Enumeration Date | 2007-01-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 359 West Thompson Rd |
|---|---|
| City | Thompson |
| State | Connecticut (CT) |
| Post Code | 6277 |
| Phone Number | 8609630267 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 5053 |
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Definition: 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. Spe |
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Post Comment/ Review Below
What is the Grace Raissa Gustafson's 1972656122?
The Grace Raissa Gustafson's NPI (National Provider Identifier) Number is 1972656122. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Grace Raissa Gustafson is geographically located?
The Grace Raissa Gustafson is physically situated at the following location: 359 West Thompson Rd, Thompson, CT, 6277.
What is Grace Raissa Gustafson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Grace Raissa Gustafson's specialized field of practice is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this area of specialization is 235Z00000X.
On what date did the Grace Raissa Gustafson receive its 1972656122 assignment from the Centers for Medicare & Medicaid Services?
The Grace Raissa Gustafson was assigned its 1972656122 by the Centers for Medicare & Medicaid Services on 2007-01-19.
As of what date was the information regarding Grace Raissa Gustafson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Grace Raissa Gustafson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.