Mary Gustafson PSY.D.

  • NPI 1225213416
According to our database, the NPI number for Mary Gustafson PSY.D. is 1225213416 and activated since 16 years ago. Mary Gustafson PSY.D. is an individual provider who specializes in Clinical Child & Adolescent, and the primary practice location is 3636 N 124th St, Wauwatosa, WI 53222. You can also contact Mary Gustafson PSY.D. via telephone number is (414) 476-9755. Provider NPI information was last updated on 04/22/2009.

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Overview of Mary Gustafson PSY.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 01/07/2008
  • Last updated: 04/22/2009

Primary Scrop of Practice

  • Taxonomy Code: 103TC2200X
  • Specialty: Clinical Child & Adolescent
  • License Number: WI1796-057
  • License State: WI

Provider Mailing Address

  • Address: 3636 N 124th St
    Suite 200
    Wauwatosa, WI 53222
  • Phone: 414-476-9755
  • Fax:

Provider Practice Location

  • Address: 3636 N 124th St
    Suite 200
    Wauwatosa, WI 53222
  • Phone: 414-476-9755
  • Fax:

Scope of Practice

  • Taxonomy Code: 103TC2200X
  • Specialty: Clinical Child & Adolescent
  • License Number: WI1796-057
  • License State: WI
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Mary Gustafson PSY.D.?
  • A: The npi number for Mary Gustafson PSY.D. is 1225213416.
  • Q: What are Mary Gustafson PSY.D.'s specialties?
  • A: Mary Gustafson PSY.D.'s specialties are Clinical Child & Adolescent and different specialities.
  • Q: What is the medical license for Mary Gustafson PSY.D.?
  • A: The medical license number for Mary Gustafson PSY.D. is WI1796-057 and issued in WI in USA.
  • Q: Where is Mary Gustafson PSY.D. practice location?
  • A: Mary Gustafson PSY.D. is practicing at 3636 N 124th St, Wauwatosa, WI 53222.
  • Q: How to contact Mary Gustafson PSY.D.?
  • A: You can contact Mary Gustafson PSY.D. via 414-476-9755.