Lee Gustafson PH.D.

NPI 1760873111 - Psychologist - 103TF0200X

NPI Details
NPI 1760873111
Gender Male
Enumeration Date 02/06/2015
Last Updated 02/06/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
1604 HEWITT AVE
SUITE 615
EVERETT WA, 98201-3595, US
Phone (425) 339-5106
Fax
Business Location
1604 HEWITT AVE
SUITE 615
EVERETT WA, 98201-3595, US
Phone (425) 339-5106
Fax
Toxanomy
Taxonomy Code 103TF0200X
License State Washington
License Number 781
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According to our database, Lee Gustafson PH.D. NPI is 1760873111, taxonomy code is 103TF0200X and license number is 781, license state is located at Washington. Lee Gustafson PH.D. physically located at 1604 Hewitt Ave, Everett WA, 98201-3595. NPI Number Lee Gustafson PH.D. has the Individual type.

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1760873111 NPI number is provided on an as is basis without warranty of any kind. 1760873111 is maintained by the National Plan & Provider Enumeration System. The contents of Lee Gustafson PH.D. are for informational purposes only.