HALEY MARIE GUSTAVSON
Speech and Language Pathologist


Address: 605 Flanders Rd, Southington, CT 06489-1304

HALEY MARIE GUSTAVSON (Credential# 1671836) is licensed (Speech and Language Pathologist) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.

Business Overview

HALEY MARIE GUSTAVSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #18.006209. The credential type is speech and language pathologist. The effective date is June 1, 2020. The expiration date is June 30, 2021. The business address is 605 Flanders Rd, Southington, CT 06489-1304. The current status is active.

Basic Information

Licensee Name HALEY MARIE GUSTAVSON
Credential ID 1671836
Credential Number 18.006209
Credential Type Speech and Language Pathologist
Business Address 605 Flanders Rd
Southington
CT 06489-1304
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2020-06-01
Effective Date 2020-06-01
Expiration Date 2021-06-30
Refresh Date 2020-06-01

Other licenses

ID Credential Code Credential Type Issue Term Status
1802336 18.006101-TEMP Speech and Language Pathologist Temporary Permit 2019-10-25 2019-09-03 - 2020-06-01 INACTIVE

Office Location

Street Address 605 FLANDERS RD
City SOUTHINGTON
State CT
Zip Code 06489-1304

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Competitor

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City SOUTHINGTON
Zip Code 06489
License Type Speech and Language Pathologist
License Type + County Speech and Language Pathologist + SOUTHINGTON

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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