Kaylie Marlene Gustafson, MA CCC-SLP is a
Speech-language Pathologist based in Dana Point, California. Kaylie Marlene Gustafson is licensed to practice in California (license number 26817) and her current practice location is
33985 Manta Ct, Dana Point, California. She can be reached at her office (for appointments etc.) via phone at
(949) 336-2569.
NPI number for Kaylie Marlene Gustafson is 1679073969 and her current mailing address is 33985 Manta Ct, Dana Point, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679073969.
Healthcare Provider's Profile
Full Name | Kaylie Marlene Gustafson |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 33985 Manta Ct, Dana Point, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679073969
- Provider Enumeration Date: 02/14/2018
- Last Update Date: 02/26/2024
Medical Identifiers
Medical identifiers for Kaylie Marlene Gustafson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679073969 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 26817 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kaylie Marlene Gustafson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kaylie Marlene Gustafson, MA CCC-SLP 33985 Manta Ct, Dana Point, CA 92629-4507 Ph: (949) 336-2569 | Kaylie Marlene Gustafson, MA CCC-SLP 33985 Manta Ct, Dana Point, CA 92629-4507 Ph: (949) 336-2569 |
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