Debra Gustafson in Riverside - Clinical Child & Adolescent
Debra Gustafson - NPI 1659559037
Debra Gustafson is a Clinical Child & Adolescent in Riverside, Rhode Island. Debra Gustafson practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Debra Gustafson is 1659559037. The last update date is 2011-09-26.
Debra Gustafson's current location address is 1011 Veterans Memorial Pkwy, Riverside, Rhode Island. You can contact this provider via phone number 4014321000. The mailing address for Debra Gustafson is 1011 Veterans Memorial Pkwy, Riverside, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Debra Gustafson |
|---|---|
| Address | 1011 Veterans Memorial Pkwy, Riverside, Rhode Island |
| Phone Number | 4014321000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1659559037 |
|---|---|
| Provider Enumeration Date | 2008-02-07 |
| Last Updated Date | 2011-09-26 |
Provider Mailing Address Detail
| Address | 1011 Veterans Memorial Pkwy |
|---|---|
| City | Riverside |
| State | Rhode Island (RI) |
| Post Code | 29155061 |
| Phone Number | 4014321000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 9065 |
|
Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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What is the unique provider identifier assigned to Debra Gustafson?
The Debra Gustafson has been issued the NPI (National Provider Identifier) 1659559037 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Debra Gustafson located?
The Debra Gustafson is located at 1011 Veterans Memorial Pkwy, Riverside, RI 29155061.
What is the Debra Gustafson's specialty and taxonomy code?
The Debra Gustafson's specialty is Clinical Child & Adolescent, and the corresponding taxonomy code is 103Tc2200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1659559037 to Debra Gustafson?
The Debra Gustafson received its 1659559037 assignment from the Centers for Medicare & Medicaid Services on 2008-02-07.
When was the information related to Debra Gustafson most recently updated or refreshed?
The details pertaining to the Debra Gustafson, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-09-26.
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