Amie C Gustavson in Mountainside - Speech-language Pathologist
Amie C Gustavson - NPI 1902006232
Amie C Gustavson is a Speech-language Pathologist in Mountainside, New Jersey. Amie C Gustavson practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Amie C Gustavson is 1902006232. The last update date is 2007-07-24.
Amie C Gustavson's current location address is 150 New Providence Rd, Mountainside, New Jersey. You can contact this provider via phone number 9082333720. The mailing address for Amie C Gustavson is 150 New Providence Rd, Mountainside, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amie C Gustavson |
|---|---|
| Address | 150 New Providence Rd, Mountainside, New Jersey |
| Phone Number | 9082333720 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MS, CCC-SL |
NPI Number Detail
| NPI Number | 1902006232 |
|---|---|
| Provider Enumeration Date | 2007-07-24 |
| Last Updated Date | 2007-07-24 |
Provider Mailing Address Detail
| Address | 150 New Providence Rd |
|---|---|
| City | Mountainside |
| State | New Jersey (NJ) |
| Post Code | 70922590 |
| Phone Number | 9082333720 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 41YS00370700 |
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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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What is the unique 10-digit identifier code issued to Amie C Gustavson by the Centers for Medicare & Medicaid Services?
The Amie C Gustavson has been assigned the NPI (National Provider Identifier) 1902006232 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Amie C Gustavson?
The Amie C Gustavson is physically situated at 150 New Providence Rd, in the city of Mountainside, state of NJ, with the postal code 70922590.
What is the Amie C Gustavson's area of specialization and corresponding taxonomy classification?
The Amie C Gustavson's specialty field is Speech-language Pathologist, and it falls under the taxonomy code 235Z00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1902006232 to Amie C Gustavson?
The Centers for Medicare & Medicaid Services assigned the 1902006232 to Amie C Gustavson on 2007-07-24.
When was the Amie C Gustavson's information last updated?
The Amie C Gustavson's information was last updated on 2007-07-24.