Ray H Gustavson is a Clinical in Montclair, Virginia. Ray H Gustavson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ray H Gustavson is 1710068788. The last update date is 2007-07-09.
Ray H Gustavson's current location address is 15647 Montview Dr, Montclair, Virginia. You can contact this provider via phone number 7035805600. The mailing address for Ray H Gustavson is 15647 Montview Dr, Montclair, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ray H Gustavson |
|---|---|
| Address | 15647 Montview Dr, Montclair, Virginia |
| Phone Number | 7035805600 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.S.W. |
NPI Number Detail
| NPI Number | 1710068788 |
|---|---|
| Provider Enumeration Date | 2006-10-18 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 15647 Montview Dr |
|---|---|
| City | Montclair |
| State | Virginia (VA) |
| Post Code | 220251327 |
| Phone Number | 7035805600 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 904003881 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8919615 | VA | -- |
Post Comment/ Review Below
What is the Ray H Gustavson's unique identification number?
The Ray H Gustavson has been assigned the NPI (National Provider Identifier) Number 1710068788 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Ray H Gustavson?
The Ray H Gustavson is physically situated at 15647 Montview Dr, in the city of Montclair, state of VA, with the postal code 220251327.
What is Ray H Gustavson's area of expertise and its corresponding taxonomy classification?
The Ray H Gustavson's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1710068788 assigned to Ray H Gustavson?
The Ray H Gustavson was issued its 1710068788 on 2006-10-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Ray H Gustavson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Ray H Gustavson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.
NPI Number: 1104829308
Address: 1009 North State Of Franklin Access Road, Johnson City, TN