Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Gretchen Gustavson, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1003072869

Gretchen Gustavson, MS, CCC-SLP is a Speech-Language Pathologist in Fairport, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

149 N Main St
Fairport, NY 14450-1434
Phone: (585) 377-2230
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 014227 (NY)

Record details

NPI number1003072869
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedJuly 31, 2008
Last updated in NPPESJuly 31, 2008

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