Gustafson, Grace Raissa
Gustafson, Grace Raissa is an individual health care provider with primary practice located at Prenet Family Health Services 237 Millbury St, Worcester MA 01610. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Gustafson, Grace Raissa can be contacted via phone (508) 755-1228.Contact Information
Primary practice address
Prenet Family Health Services 237 Millbury St
Worcester MA 01610
Phone: (508) 755-1228
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 5053 | Massachusetts |
Profile Details
| NPI number | 1972656122 |
|---|---|
| LBN Legal business name | Gustafson, Grace Raissa |
| Credentials | MS CCC SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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