DR. Debra Gustafson, PHD
NPI #1659559037 in Riverside, Rhode Island
Provider Information
- NPI Number
- 1659559037
- Entity Type
- Individual
- Name
- DR. Debra Gustafson, PHD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - Clinical
- Credential
- PHD
- Enumeration Date
- Feb 7, 2008
- Last Updated
- Sep 26, 2011
Practice Location
- Address
- 1011 VETERANS MEMORIAL PKWY
- Address 2
- BRADLEY HOSPITAL
- City
- Riverside
- State
- Rhode Island
- ZIP Code
- 02915-5061
- Phone
- (401) 432-1000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
| Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent |
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