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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SAMUEL DAVID LUSTGARTEN, PHD

Active Sole Proprietor

DR. SAMUEL DAVID LUSTGARTEN, PHD is a Counseling Psychologist healthcare provider located in MADISON, Wisconsin. NPI 1477197929 is currently active in the NPPES registry. Verify at CMS.

Counseling Psychologist · MADISON, WI

Registration Details

NPI Number
1477197929
Provider Type
Individual
Gender
Male
NPI Issued
Oct 28, 2019 (6.8123419513043 yrs)
Last Updated
Dec 29, 2022
Licenses
3178 (OR)
3717-57 (WI)
Sole Proprietor
Yes

Practice Information

Address
702 N BLACKHAWK AVE STE 205
MADISON, WI, 537053357
Browse WI providers · Browse ZIP 53705
Phone
7202604362
Fax
9719990817
Primary Specialty
Counseling Psychologist
103TC1900X
Additional Specialty
Counseling Psychologist

Other Counseling Psychologist Providers in MADISON, WI

Name Credential NPI
DR. NICOLLE ELAINE LEVY PH.D. 1740271477
DR. DAVE MINDEN PH.D. 1952378754
DR. DAVID ROETHE PH.D. 1548338239
DR. JOSHUA BRANDT SCHIFFMAN PH.D. 1750440590
DR. JAMES HENRY BLACK PH.D. 1114088341
DR. STEPHANIE RENE GRAHAM PHD 1508167594
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.