LEE GUSTAFSON (NPI# 1760873111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760873111 |
Entity Type | Individual |
Full Name | LEE GUSTAFSON |
Credential | PH.D. |
Practice Address |
1604 Hewitt Ave Suite 615 Everett WA 98201-3595 |
Practice Telephone | 4253395106 |
Mailing Telephone | 4253395106 |
Enumeration Date | 2015-02-06 |
Last Update Date | 2015-02-06 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TF0200X |
Psychologist Specialization: Forensic |
781 | WA | Behavioral Health & Social Service Providers |
Street Address |
1604 HEWITT AVE SUITE 615 |
City | EVERETT |
State | WA |
Zip Code | 98201-3595 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639381098 | Steven H. Taylor | Psychologist | 1604 Hewitt Ave, Suite 510, Everett, WA 98201-3595 | 2007-05-05 |
1821360793 | Michele Elaine Kimble | Counselor | 1604 Hewitt Ave, Ste 300, Everett, WA 98201-3595 | 2012-02-07 |
1225280654 | Steven H. Johansen | Psychologist | 1604 Hewitt Ave, Suite 615, Everett, WA 98201-3595 | 2008-10-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306471867 | Shannon Michelle Dewald | Registered Nurse | D8s 1700 13th St, Everett, WA 98201 | 2020-03-05 |
1578123113 | Precious Medicial Spa, LLC | Registered Nurse | 1728 W. Marine View Dr Suite 212, Everett, WA 98201 | 2019-06-17 |
1508429796 | Alix Deschain | Counselor | 2801 Broadway, Everett, WA 98201 | 2019-04-15 |
1811457534 | Khushboo Patel | Pharmacist | 1330 Rockefeller Ave Ste 150, Everett, WA 98201 | 2019-03-20 |
1164991188 | Grace Talbot Davis | Registered Nurse | 2601 Summit Avenue, Bldg. C, Everett, WA 98201 | 2018-11-20 |
1063924603 | Tracy Sisk | Counselor | 3120 Colby Ave, 502, Everett, WA 98201 | 2017-11-03 |
1710403126 | Michelle Durham | Counselor | 3322 Boadway Fl 2, Everett, WA 98201 | 2017-08-17 |
1861927949 | Melanie Schmidt | Counselor | 2610 Westmore Ave, Everett, WA 98201 | 2017-04-26 |
1518413327 | Joseph Madson Dmd Pllc | Clinic/Center | 3802 Colby Ave, 4th Floor, Everett, WA 98201 | 2016-08-31 |
1043683162 | Jennifer Adams | Counselor | 1511 26th St, Everett, WA 98201 | 2015-11-11 |
Find all providers in zip 98201 |
Taxonomy Code | 103TF0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Forensic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174148878 | Sandra Lee Sellam | Psychologist | 4525 S Warner St Apt 3, Tacoma, WA 98409-5503 | 2020-06-09 |
1780157495 | Brian William Judd | Psychologist | 501 Columbia St Nw Ste A, Olympia, WA 98501-1062 | 2019-01-04 |
1922506377 | Diane Weyer Dewitt | Psychologist | 12356 Northup Way Ste 100, Bellevue, WA 98005-1956 | 2018-01-30 |
1598130155 | Corre Spence | Psychologist | 2204 S Norman St, Seattle, WA 98144-2943 | 2015-12-08 |
1023432150 | Joseph Nevotti | Psychologist | 2023 East Sims Way, Port Townsend, WA 98368 | 2014-02-10 |
1386931608 | Brendon Scholtz | Psychologist | 16731 188th Pl Ne, Woodinville, WA 98072-9197 | 2011-07-07 |
1699081604 | Pacific Forensic Psychology Services | Psychologist | 427 W 7th Ave, Spokane, WA 99204-2611 | 2010-08-27 |
1265696884 | C O'donnell | Psychologist | 1903 W Garland Ave, Box 10757, Spokane, WA 99205-2519 | 2008-07-13 |
1891992467 | John Robert Wheeler | Psychologist | 19105 36th Ave W, Suite 206, Lynnwood, WA 98036-5760 | 2007-06-28 |
1619184827 | Norman James Mar | Psychologist | 515 Minor Ave Ste 230, Seattle, WA 98104-2133 | 2007-05-17 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.