Search › California › 235Z00000X
Kaylie Gustafson, MA CCC-SLP
NPI 1679073969 · on the registry since 2018
Practice
- Address
- 33985 Manta Ct
Dana Point, CA 92629 - Phone
- (949) 336-2569
Additional practice sites
- 4695 Macarthur Ct Ste 1100, Newport Beach, CA
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-02-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California