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

Kaylie Marlene Gustafson, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1679073969

Kaylie Marlene Gustafson, MACCC-SLP is a Speech-Language Pathologist in Dana Point, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2018

Practice location Address checks out

33985 Manta Ct
Dana Point, CA 92629-4507
Phone: (949) 336-2569
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4695 Macarthur Ct Ste 1100, Newport Beach, CA 92660-1866 — (949) 478-4484

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 26817 (CA)

Record details

NPI number1679073969
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorNo
NPI enumeratedFebruary 14, 2018
Last updated in NPPESFebruary 26, 2024
Certification dateFebruary 26, 2024

Other providers in Dana Point