Holly Dyan Gustavson in Port Hueneme - Speech-language Pathologist
Holly Dyan Gustavson - NPI 1922268721
Holly Dyan Gustavson is a Speech-language Pathologist in Port Hueneme, California. Holly Dyan Gustavson practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Holly Dyan Gustavson is 1922268721. The last update date is 2008-06-15.
Holly Dyan Gustavson's current location address is 1062 Guam Dr Apt B, Port Hueneme, California. You can contact this provider via phone number 8329697040. The mailing address for Holly Dyan Gustavson is 1062 Guam Dr Apt B, Port Hueneme, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Holly Dyan Gustavson |
|---|---|
| Address | 1062 Guam Dr Apt B, Port Hueneme, California |
| Phone Number | 8329697040 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MA CCC-SLP |
NPI Number Detail
| NPI Number | 1922268721 |
|---|---|
| Provider Enumeration Date | 2008-06-15 |
| Last Updated Date | 2008-06-15 |
Provider Mailing Address Detail
| Address | 1062 Guam Dr Apt B |
|---|---|
| City | Port Hueneme |
| State | California (CA) |
| Post Code | 930413918 |
| Phone Number | 8329697040 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 15235 |
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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 identification code assigned to Holly Dyan Gustavson by the Centers for Medicare & Medicaid Services?
The Holly Dyan Gustavson has been issued the NPI (National Provider Identifier) 1922268721. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Holly Dyan Gustavson located?
The Holly Dyan Gustavson is located at 1062 Guam Dr Apt B, Port Hueneme, CA 930413918.
What is Holly Dyan Gustavson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Holly Dyan Gustavson is Speech-language Pathologist, and the taxonomy code that classifies this field of practice is 235Z00000X.
When did Holly Dyan Gustavson receive its 1922268721 assignment?
The Holly Dyan Gustavson was assigned its 1922268721 on 2008-06-15, which is the date when this unique identifier was issued to the organization.
When was the Holly Dyan Gustavson's information last updated?
The Holly Dyan Gustavson's information was last updated on 2008-06-15.
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