Nikki Bogin-Gustavson, PSY.D.

NPI #1174122816 in Middle Island, New York

Provider Information

NPI Number
1174122816
Entity Type
Individual
Name
Nikki Bogin-Gustavson, PSY.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Psychologist
Credential
PSY.D.
Enumeration Date
Oct 23, 2020
Last Updated
Oct 23, 2020

Practice Location

Address
35 LONGWOOD RD
ZIP Code
11953-2045
Phone
(631) 924-0008

Specialties & Taxonomy Codes

Specialty
Psychologist

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