DR. Samuel David Lustgarten, PHD

NPI #1477197929 in Madison, Wisconsin

Provider Information

NPI Number: 1477197929
Entity Type: Individual
Name: DR. Samuel David Lustgarten, PHD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Counseling
Credential: PHD
Enumeration Date: Oct 28, 2019
Last Updated: Dec 29, 2022

Practice Location

Address: 702 N BLACKHAWK AVE STE 205
City: Madison
State: Wisconsin
ZIP Code: 53705-3357
Phone: (720) 260-4362

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Counseling — Counseling	103TC1900X	Primary

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