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MRS. TRACEY GUSTAFSON MA, CCC-SLP/L
NPI 1518471507
Speech-Language Pathologist in Freeport, IL

Active since November 29, 2017
1717 W EBY ST, FREEPORT, IL 61032(815) 232-0340 Get Directions Write a Review

NPPES record last updated: March 10, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 10, 2020, Nov 29, 2017 (2 updates tracked since 2017).

About Mrs. Tracey Gustafson Ma, Ccc-slp/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TRACEY GUSTAFSON MA, CCC-SLP/L (NPI 1518471507) is an individual speech-language pathologist provider in Freeport, Illinois and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1518471507
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. TRACEY GUSTAFSONCredential: MA, CCC-SLP/L
Location Address1717 W EBY STFreeport, IL 61032-4644
Mailing Address663 W Cleveland StFreeport, IL 61032-6337
Phone(815) 232-0340
Sole ProprietorNo
Enumeration DateNovember 29, 2017
Last NPPES UpdateMarch 10, 20202 updates tracked since enumeration
NPPES CertifiedMarch 10, 2020
✔ NPI 1518471507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
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.
1717 W EBY ST, Freeport, IL 61032
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KILEY PAULS OTR/L
Occupational Therapist
1717 W EBY ST
FREEPORT, IL 61032
Stephenson County (815) 232-0340

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracey Gustafson's NPI number?

The NPI number for Tracey Gustafson is 1518471507. It was assigned to this individual provider in the NPPES registry on November 29, 2017.

Where is Tracey Gustafson located?

Tracey Gustafson practices at 1717 W Eby St, Freeport, IL 61032. The listed phone number is (815) 232-0340.

What is Tracey Gustafson's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Tracey Gustafson was last updated on March 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.