John L Gustavson in Grand Junction - Clinical Neuropsychologist
John L Gustavson - NPI 1720068059
John L Gustavson is a Clinical Neuropsychologist in Grand Junction, Colorado. John L Gustavson practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for John L Gustavson is 1720068059. The last update date is 2019-10-30.
John L Gustavson's current location address is 2530 N 8th St, Grand Junction, Colorado. You can contact this provider via phone number 9702453505. The mailing address for John L Gustavson is 2530 N 8th St, Grand Junction, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John L Gustavson |
|---|---|
| Address | 2530 N 8th St, Grand Junction, Colorado |
| Phone Number | 9702453505 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1720068059 |
|---|---|
| Provider Enumeration Date | 2006-01-20 |
| Last Updated Date | 2019-10-30 |
Provider Mailing Address Detail
| Address | 2530 N 8th St |
|---|---|
| City | Grand Junction |
| State | Colorado (CO) |
| Post Code | 815018857 |
| Phone Number | 9702453505 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | PSY.0000987 |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7987001 | CO | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to John L Gustavson by the Centers for Medicare & Medicaid Services?
The John L Gustavson has been issued the NPI (National Provider Identifier) 1720068059 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of John L Gustavson?
The John L Gustavson is situated at 2530 N 8Th St, in the city of Grand Junction, state of CO, with the zip code 815018857.
What is John L Gustavson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for John L Gustavson is Clinical Neuropsychologist, and the taxonomy code that categorizes this field of expertise is 103G00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1720068059 to John L Gustavson?
The Centers for Medicare & Medicaid Services originally issued the 1720068059 to John L Gustavson on 2006-01-20.
As of what date were the John L Gustavson's details last updated?
The information pertaining to the John L Gustavson, including its address, specialty, and other details, was most recently updated on 2019-10-30.