Grace Elaine Gustwiller
Individual provider Active NPI Speech-Language Pathologist · Bellbrook, OH
NPI 1033940747 · NPPES record last updated Apr 15, 2025
Key facts
- NPI
- 1033940747
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- COND.20242782-SP (OH)
- Practice address
- 4122 N Linda Dr
Bellbrook, OH 45305-1320 - Phone
- (937) 848-7831
- NPI assigned
- Aug 13, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COND.20242782-SP | OH | MD | Speech-Language Pathologist |
| OH3380418 | OH | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | OH3380418 | OH | |
| Speech-Language Pathologist | 235Z00000X | COND.20242782-SP | OH | Yes |
Addresses
Primary practice location
4122 N Linda Dr
Bellbrook, OH 45305-1320
Mailing address
360 E Enon Rd
Yellow Springs, OH 45387-1415
Phone (419) 966-6346
Other providers in Bellbrook, OH
- Evan Geist
- Kenneth R. Gilfillan
- Amber C Gomez
- Lauren Graves
- Darin L. Green
- Leah Guthrie
- Beth L. Hamilton
- John P Harmeyer
- Ann Hazelton
- Thomas H Henderson
All providers in Bellbrook, OH · Speech-Language Pathologist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.