Debra Gustafson PHD

NPI 1659559037 - Psychologist - 103TC2200X

NPI Details
NPI 1659559037
Gender Female
Enumeration Date 02/07/2008
Last Updated 09/26/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
1011 VETERANS MEMORIAL PKWY
BRADLEY HOSPITAL
RIVERSIDE RI, 02915-5061, US
Phone (401) 432-1000
Fax
Business Location
1011 VETERANS MEMORIAL PKWY
BRADLEY HOSPITAL
RIVERSIDE RI, 02915-5061, US
Phone (401) 432-1000
Fax
Toxanomy
Taxonomy Code 103TC2200X
License State Massachusetts
License Number 9065
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According to our database, Dr. Debra Gustafson PHD NPI is 1659559037, taxonomy code is 103TC2200X and license number is 9065, license state is located at Massachusetts. Debra Gustafson PHD physically located at 1011 Veterans Memorial Pkwy, Riverside RI, 02915-5061. NPI Number Debra Gustafson PHD has the Individual type.

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1659559037 NPI number is provided on an as is basis without warranty of any kind. 1659559037 is maintained by the National Plan & Provider Enumeration System. The contents of Debra Gustafson PHD are for informational purposes only.