-- LISA GUSTAFSON -- Ph.D., PLLC
Individual Provider (NPI-1)
Active
Psychologist, Clinical
Provider Information
- NPI Number
1932542180- Provider Type
- Individual Provider (NPI-1)
- Credentials
- Ph.D., PLLC
- Status
- Active
Contact & Location
- Address
- 200 E MAIN AVE SUITE 202, BISMARCK, ND, 585013857
- Phone
- (701) 400-5472
Specialties & Taxonomies
Psychologist, Clinical
Primary License: ND #474