LEE GUSTAFSON


Address: 1604 Hewitt Ave, Suite 615, Everett, WA 98201-3595
Phone: 4253395106

LEE GUSTAFSON (NPI# 1760873111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TF0200X Psychologist
Specialization: Forensic
781 WA Behavioral Health & Social Service Providers

Office Location

Street Address 1604 HEWITT AVE
SUITE 615
City EVERETT
State WA
Zip Code 98201-3595

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 103TF0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Forensic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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

Competitor

Search similar providers

City EVERETT
Zip Code 98201

Improve Information

Please comment or provide details below to improve the information on LEE GUSTAFSON.

Dataset Information

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.

Trending Searches