Genny L Gaustad is a Professional in Tempe, Arizona. Genny L Gaustad practices all healthcare services and medical treatments related to Professional. The NPI Number for Genny L Gaustad is 1407011430. The last update date is 2010-06-25.
Genny L Gaustad's current location address is 1300 S Mill Ave, Tempe, Arizona. You can contact this provider via phone number 4803295578. The mailing address for Genny L Gaustad is 1300 S Mill Ave, Tempe, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Genny L Gaustad |
|---|---|
| Address | 1300 S Mill Ave, Tempe, Arizona |
| Phone Number | 4803295578 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MC |
NPI Number Detail
| NPI Number | 1407011430 |
|---|---|
| Provider Enumeration Date | 2008-07-18 |
| Last Updated Date | 2010-06-25 |
Provider Mailing Address Detail
| Address | 1300 S Mill Ave |
|---|---|
| City | Tempe |
| State | Arizona (AZ) |
| Post Code | 852815650 |
| Phone Number | 4803295578 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 12279 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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What is the Genny L Gaustad's 1407011430?
The Genny L Gaustad's NPI (National Provider Identifier) Number is 1407011430. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Genny L Gaustad located?
The Genny L Gaustad is located at 1300 S Mill Ave, Tempe, AZ 852815650.
What is the Genny L Gaustad's specialty and taxonomy code?
The Genny L Gaustad's specialty is Professional, and the corresponding taxonomy code is 101Yp2500X.
When did Genny L Gaustad receive its 1407011430 assignment?
The Genny L Gaustad was assigned its 1407011430 on 2008-07-18, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Genny L Gaustad most recently updated or revised?
The information pertaining to Genny L Gaustad, including its address, specialty, and other relevant details, was last updated or revised on 2010-06-25.