Laura Michelle Gustafson, MS, CCC-SLP | |
107 Tremont St, Hopedale, IL 61747-7525 | |
(309) 449-3321 | |
Not Available |
Full Name | Laura Michelle Gustafson |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 107 Tremont St, Hopedale, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245594019 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 146008848 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Laura Michelle Gustafson, MS, CCC-SLP 107 Tremont St, Hopedale, IL 61747-7525 Ph: (309) 449-3321 | Laura Michelle Gustafson, MS, CCC-SLP 107 Tremont St, Hopedale, IL 61747-7525 Ph: (309) 449-3321 |
Nicole Mckinley, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 107 Tremont St, Hopedale, IL 61747 Phone: 309-449-4501 | |
Jill Maree Gresham, MS, CCC-SLP/L Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 107 Tremont St, Hopedale, IL 61747 Phone: 309-449-3321 |