Scott Allen Gustafson in Oxford - Clinical
Scott Allen Gustafson - NPI 1407916216
Scott Allen Gustafson is a Clinical in Oxford, Mississippi. Scott Allen Gustafson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Scott Allen Gustafson is 1407916216. The last update date is 2009-02-09.
Scott Allen Gustafson's current location address is 551 Hathorn Rd, Oxford, Mississippi. You can contact this provider via phone number 6629155272. The mailing address for Scott Allen Gustafson is 551 Hathorn Rd, Oxford, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Scott Allen Gustafson |
|---|---|
| Address | 551 Hathorn Rd, Oxford, Mississippi |
| Phone Number | 6629155272 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1407916216 |
|---|---|
| Provider Enumeration Date | 2006-12-11 |
| Last Updated Date | 2009-02-09 |
Provider Mailing Address Detail
| Address | 551 Hathorn Rd |
|---|---|
| City | Oxford |
| State | Mississippi (MS) |
| Post Code | 386554213 |
| Phone Number | 6629155272 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 907 |
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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 |
|---|---|---|---|
| 06Y001129NH01 | NH | BLUE CROSS BLUE SHIELD | |
| 201279090 01 | NH | HARVARD PILGRIM | |
| 30424636 | NH | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Scott Allen Gustafson by the Centers for Medicare & Medicaid Services?
The Scott Allen Gustafson has been issued the NPI (National Provider Identifier) 1407916216, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Scott Allen Gustafson?
The Scott Allen Gustafson is physically situated at 551 Hathorn Rd, in the city of Oxford, state of MS, with the postal code 386554213.
What is the Scott Allen Gustafson's specialty and taxonomy code?
The Scott Allen Gustafson's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
When did the Scott Allen Gustafson receive its 1407916216?
The Scott Allen Gustafson was issued its 1407916216 on 2006-12-11, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Scott Allen Gustafson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Scott Allen Gustafson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-02-09.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC