HOLLY DYAN GUSTAVSON

OXNARD, CA
NPI1922268721
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: CA  15235)
Enumeration Date2008-06-15
Last Update Date2008-06-15
Business Address
-- HOLLY DYAN GUSTAVSON MA CCC-SLP
2641 S C ST
OXNARD, CA 93033-4502
Phone number: 805-487-7840
Mailing Address
-- HOLLY DYAN GUSTAVSON MA CCC-SLP
1062 GUAM DR APT B
PORT HUENEME, CA 93041-3918
Phone number: 832-969-7040