Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KRISTEN WILHELMINA GUSTAVSON, PH.D.
Active Sole ProprietorPsychologist · EAU CLAIRE, WI
Registration Details
- NPI Number
- 1588961254
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 16, 2011 (15.220723883647 yrs)
- Last Updated
- Nov 9, 2015
- License
-
3306-57 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
402 GRAHAM AVESUITE 205EAU CLAIRE, WI, 547013649Browse WI providers · Browse ZIP 54701
- Phone
- 7155798465
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in EAU CLAIRE, WI
| Name | Credential | NPI |
|---|---|---|
| DR. BRIAN A STRESS | PSYD | 1558383711 |
| JASON E KANZ | PHD | 1518970524 |
| MARGARET M FITTS | PHD, LP | 1275687329 |
| MICHAEL ALBIN LACE | PSYD | 1023133022 |
| BRENNAN J. YOUNG | PH.D. | 1194983528 |
| TODD CAILLIER | — | 1154607349 |
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.