KAYLIE MARLENE GUSTAFSON MA CCC-SLP
NPI 1679073969
Speech-Language Pathologist in Dana Point, CA

Active since February 14, 2018
33985 MANTA CT, DANA POINT, CA 92629(949) 336-2569 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 10, 2020, Oct 2, 2019, Feb 14, 2018 (3 updates tracked since 2018).

About Kaylie Marlene Gustafson Ma Ccc-slp NPPES

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

KAYLIE MARLENE GUSTAFSON MA CCC-SLP (NPI 1679073969) is an individual speech-language pathologist provider in Dana Point, California, licensed in California (26817) and active in the NPI registry since February 2018. She maintains a secondary practice location in Newport Beach.

NPPES Registry Identity

NPI1679073969
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKAYLIE MARLENE GUSTAFSONCredential: MA CCC-SLP
Location Address33985 MANTA CTDana Point, CA 92629-4507
Mailing Address33985 Manta CtDana Point, CA 92629-4507 · (949) 336-2569
Sole ProprietorNo
Enumeration DateFebruary 14, 2018
Last NPPES UpdateFebruary 26, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2024
NPI 1679073969 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
License Licensed in CA · 26817
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.
33985 MANTA CT, Dana Point, CA 92629

Secondary Practice Location 1

Location 14695 MacArthur Ct Ste 1100Newport Beach, CA 92660-1866 · Phone (949) 478-4484

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 Kaylie Gustafson's NPI number?

The NPI number for Kaylie Gustafson is 1679073969. It was assigned to this individual provider in the NPPES registry on February 14, 2018.

Where is Kaylie Gustafson located?

Kaylie Gustafson practices at 33985 Manta Ct, Dana Point, CA 92629. The listed phone number is (949) 336-2569.

What is Kaylie 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 Kaylie Gustafson was last updated on February 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.