TRACY ELAINE GUSTAFSON MA NPI 1093230369

NPI Information

NPI: 1093230369
Provider Name: TRACY ELAINE GUSTAFSON, MA
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
160 BEECHWOOD AVE
PAWTUCKET, RI
ZIP 02860
Phone: (401) 724-8400
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Tracy Elaine Gustafson, MA is a mental health counselor in Pawtucket, RI. Tracy Elaine Gustafson, MA NPI is 1093230369. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

160 BEECHWOOD AVE
PAWTUCKET, RI
ZIP 02860-402
Phone: (401) 724-8400
Fax: (401) 724-8488

The enumeration date for this NPI number is 8/8/2017 and was last updated on 8/8/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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