Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Deanne Marie Gustafson

Individual provider School Psychologist · NPI 1104423409

Deanne Marie Gustafson is a School Psychologist in LA Grange, Illinois. Licensed in Illinois. Registered with an NPI since 2020.

Licensed in
IL
In the registry since
2020

Practice location Address checks out

1301 W Cossitt Ave
LA Grange, IL 60525-2145
Phone: (708) 354-5730
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

School Psychologist (primary) Taxonomy 103TS0200X · Licence 1884039 (IL)

Record details

NPI number1104423409
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 8, 2020
Last updated in NPPESOctober 8, 2020
Certification dateOctober 8, 2020
Mailing address17200 Teakwood Dr, Tinley Park, IL 60487-5406

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