Active NPIIndividual provider

Nicoletta Vasta Gustafson

Speech-Language Pathologist, in Medfield, Massachusetts

NPI Number1043631609
Practice location
2 Icehouse RD, Medfield, MA 02052-1555
Fax
508-242-9489
Last updated
December 30, 2013

Nicoletta Vasta Gustafson is a Speech-Language Pathologist, based in Medfield, MA. Nicoletta Vasta Gustafson practices in Medfield, MA. The NPI Number for Nicoletta Vasta Gustafson is 1043631609 and holds a License No. 2676 (MA). The current practice location address for Nicoletta Vasta Gustafson is 2 Icehouse RD, Medfield, MA 02052-1555 and can be reached out via phone at 508-242-9478 and via fax at 508-242-9489.

Provider Profile Details

NPI Number
1043631609
Provider Name
Nicoletta Vasta Gustafson
Provider Entity Type
Individual
Gender
Female
Address
2 Icehouse RD, Medfield, MA 02052-1555
Phone Number
508-242-9478
Fax Number
508-242-9489
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
December 30, 2013
Last Update Date
December 30, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Icehouse RD
Medfield, MA 02052-1555
Zip
02052-1555
Phone Number
508-242-9478
Fax Number
508-242-9489
Medfield, MA 02052Get directions →

Provider Business Mailing Address Details

Address
2 Laurel Ave
Wellesley, MA 02481-7523
City
Wellesley
State
MA
Zip
02481-7523
Phone Number
781-237-5585
Fax Number
781-237-5633

License Information

License Number
2676
License State
MA
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nicoletta Vasta Gustafson?

The NPI number of Nicoletta Vasta Gustafson is 1043631609. It was assigned on December 30, 2013 and is currently active in the NPPES registry.

What is the specialty of Nicoletta Vasta Gustafson?

Nicoletta Vasta Gustafson is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number 2676.

Where does Nicoletta Vasta Gustafson practice?

The practice location is 2 Icehouse RD, Medfield, MA 02052-1555. The office can be reached at 508-242-9478 (phone) or 508-242-9489 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043631609 directly on the NPPES registry website.

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