Individual
CAROL BETH GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2002 HOLCOMBE BLVD, RM 2A-120, HOUSTON, TX 77030-4211
(713) 794-7112
Mailing address
2002 HOLCOMBE BLVD, RM 2A-120, HOUSTON, TX 77030-4211
(713) 794-7112
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
16844
TX
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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