Active NPIIndividual provider

Mrs. Amie C Gustavson, MS, CCC-SLP

Speech-Language Pathologist, in Mountainside, New Jersey

NPI Number1902006232
Practice location
150 New Providence RD, Mountainside, NJ 07092-2590
Fax
—
Last updated
July 24, 2007

Amie C Gustavson is a Speech-Language Pathologist, based in Mountainside, NJ. Amie C Gustavson practices in Mountainside, NJ and has the professional credentials of MS, CCC-SLP. The NPI Number for Amie C Gustavson is 1902006232 and holds a License No. 41ys00370700 (NJ). The current practice location address for Amie C Gustavson is 150 New Providence RD, Mountainside, NJ 07092-2590 and can be reached out via phone at 908-233-3720.

Provider Profile Details

NPI Number
1902006232
Provider Name
Amie C Gustavson
Credential
MS, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
150 New Providence RD, Mountainside, NJ 07092-2590
Phone Number
908-233-3720
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
July 24, 2007
Last Update Date
July 24, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
150 New Providence RD
Mountainside, NJ 07092-2590
Zip
07092-2590
Phone Number
908-233-3720
Mountainside, NJ 07092Get directions →

Provider Business Mailing Address Details

Address
28 Glen Oaks CT
Old Bridge, NJ 08857-3503
City
Old Bridge
State
NJ
Zip
08857-3503
Phone Number
732-313-6451

License Information

License Number
41ys00370700
License State
NJ
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 Mrs. Amie C Gustavson, MS, CCC-SLP?

The NPI number of Mrs. Amie C Gustavson, MS, CCC-SLP is 1902006232. It was assigned on July 24, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Amie C Gustavson, MS, CCC-SLP?

Mrs. Amie C Gustavson, MS, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41ys00370700.

Where does Mrs. Amie C Gustavson, MS, CCC-SLP practice?

The practice location is 150 New Providence RD, Mountainside, NJ 07092-2590. The office can be reached at 908-233-3720 (phone).

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 1902006232 directly on the NPPES registry website.

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