Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679073969 Individual Practitioner Female Practitioner

Kaylie Marlene Gustafson , MA CCC-SLP

Speech-Language Pathologist • Dana Point, CA

Professional Overview & Biography Verified Profile Summary

Kaylie Gustafson, MA CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Dana Point, CA. Practice services are available at 33985 MANTA CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

33985 Manta Ct

Dana Point, CA 926294507

Telephone 9493362569

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Dana Point, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
3 Specialists

Practicing in Dana Point, CA (13280 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-02-26
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License CA 26817

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Secondary Practice Locations

4695 Macarthur Ct Ste 1100

Newport Beach, CA 926601866

Phone: 9494784484

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location October 02, 2019

Registered at 33985 MANTA CT, DANA POINT, CA 926294507 (Tel: 9496064043)

NPI Profile Active February 14, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location February 14, 2018

Registered at 255 E BONITA AVE, POMONA, CA 917671923 (Tel: 9095967733)

📍
Updated Business Mailing Address February 14, 2018

Registered at 33985 MANTA CT, DANA POINT, CA 926294507 (Tel: 9496064043)

👤
Provider Name / Credentials Updated February 14, 2018

Recorded as KAYLIE GUSTAFSON, MA CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 14, 2018

Speech-Language Pathologist (License #26817 in CA)

🟢
Initial NPI Registration & Enumeration February 14, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679073969
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 14, 2018
Last Update: February 26, 2024
Sole Proprietor: No

Mailing Address

33985 Manta Ct

Dana Point, CA 926294507

Phone: 9493362569

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.