Donae Verbena Gustafson in Stillwater - Clinical
Donae Verbena Gustafson - NPI 1598820367
Donae Verbena Gustafson is a Clinical in Stillwater, Minnesota. Donae Verbena Gustafson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Donae Verbena Gustafson is 1598820367. The last update date is 2010-05-12.
Donae Verbena Gustafson's current location address is 6120 Oren Ave N, Stillwater, Minnesota. You can contact this provider via phone number 6514300888 and fax number 6514300889. The mailing address for Donae Verbena Gustafson is 6120 Oren Ave N, Stillwater, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Donae Verbena Gustafson |
|---|---|
| Address | 6120 Oren Ave N, Stillwater, Minnesota |
| Phone Number | 6514300888 |
| Fax Number | 6514300889 |
| Sole Proprietor | Y |
| Credentials | PSY. D. |
NPI Number Detail
| NPI Number | 1598820367 |
|---|---|
| Provider Enumeration Date | 2006-12-22 |
| Last Updated Date | 2010-05-12 |
Provider Mailing Address Detail
| Address | 6120 Oren Ave N |
|---|---|
| City | Stillwater |
| State | Minnesota (MN) |
| Post Code | 550826155 |
| Phone Number | 6514300888 |
| Fax Number | 6514300889 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | LP 3566 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000-562-8542 | MN | AETNA | |
| 5651-11-01 00:0 | MN | U CARE | |
| 76-83570-00 | MN | -- | |
| 61-62456 | MN | MEDICA | |
| 58G12GU | MN | BCBS OF MN | |
| 76-83570-00 | MN | MN MA | |
| HP16320 | MN | HEALTHPARTNERS |
Post Comment/ Review Below
What is the Donae Verbena Gustafson's 1598820367?
The Donae Verbena Gustafson's NPI (National Provider Identifier) Number is 1598820367. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Donae Verbena Gustafson's facilities are situated?
The facilities of Donae Verbena Gustafson are physically located at the following address: 6120 Oren Ave N, Stillwater, MN, 550826155.
What is Donae Verbena Gustafson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Donae Verbena Gustafson's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
When did the Donae Verbena Gustafson receive its 1598820367?
The Donae Verbena Gustafson was issued its 1598820367 on 2006-12-22, which is the date when the organization was assigned this unique identifier.
When was the Donae Verbena Gustafson's information last updated?
The Donae Verbena Gustafson's information was last updated on 2010-05-12.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN