Mrs. Grace R Gustafson, MS CCC SLP
Speech-Language Pathologist, in Worcester, Massachusetts
1972656122- Practice location
- Prenet Family Health Services, 237 Millbury St, Worcester, MA 01610
- Phone
- 508-755-1228
- Fax
- —
- Last updated
- July 8, 2007
Grace Raissa Gustafson is a Speech-Language Pathologist, based in Worcester, MA. Grace Raissa Gustafson practices in Worcester, MA and has the professional credentials of MS CCC SLP. The NPI Number for Grace Raissa Gustafson is 1972656122 and holds a License No. 5053 (MA). The current practice location address for Grace Raissa Gustafson is Prenet Family Health Services, 237 Millbury St, Worcester, MA 01610 and can be reached out via phone at 508-755-1228.
Provider Profile Details
- NPI Number
- 1972656122
- Provider Name
- Grace Raissa Gustafson
- Credential
- MS CCC SLP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- Prenet Family Health Services, 237 Millbury St, Worcester, MA 01610
- Phone Number
- 508-755-1228
- Primary Taxonomy
- Speech-Language Pathologist, · 235Z00000X
- Sole Proprietor
- No
- Other Names
- Ms. Grace Raissa Brilliant, MS CCC SLP (Former Name)
- Provider Enumeration Date
- January 19, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- Prenet Family Health Services
237 Millbury St
Worcester, MA 01610 - City
- Worcester
- State
- Massachusetts
- Zip
- 01610
- Phone Number
- 508-755-1228
Provider Business Mailing Address Details
- Address
- 359 West Thompson RD
Thompson, CT 06277 - City
- Thompson
- State
- CT
- Zip
- 06277
- Phone Number
- 860-963-0267
License Information
- License Number
- 5053
- License State
- MA
- Taxonomy
- Speech-Language Pathologist, · 235Z00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Speech-Language Pathologist, providers near Worcester, MA
View all Speech-Language Pathologist, providers in Worcester →- Abigail PotvinSpeech-Language Pathologist, · NPI 1124887096
- Adelle LevertSpeech-Language Pathologist, · NPI 1063832806
- Aileen ThurberSpeech-Language Pathologist, · NPI 1750255212
- Alison HickeySpeech-Language Pathologist, · NPI 1578932802
- Allison FielloSpeech-Language Pathologist, · NPI 1205560877
- Alyssa Lewandowski, CCC-SLPSpeech-Language Pathologist, · NPI 1619824927
Frequently Asked Questions
What is the NPI number of Mrs. Grace R Gustafson, MS CCC SLP?
The NPI number of Mrs. Grace R Gustafson, MS CCC SLP is 1972656122. It was assigned on January 19, 2007 and is currently active in the NPPES registry.
What is the specialty of Mrs. Grace R Gustafson, MS CCC SLP?
Mrs. Grace R Gustafson, MS CCC SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number 5053.
Where does Mrs. Grace R Gustafson, MS CCC SLP practice?
The practice location is Prenet Family Health Services, 237 Millbury St, Worcester, MA 01610. The office can be reached at 508-755-1228 (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 1972656122 directly on the NPPES registry website.