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DR. SCOTT ALLEN GUSTAFSON PH.D. NPI 1407916216


NPI Information

NPI: 1407916216
Provider Name: DR. SCOTT ALLEN GUSTAFSON, PH.D.
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

Address:
551 HATHORN RD
OXFORD, MS
ZIP 38655
Phone: (662) 915-5272
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DR. Scott Allen Gustafson, PH.D. is a clinical psychologist in Oxford, MS. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. Scott Allen Gustafson, PH.D. NPI is 1407916216. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

551 HATHORN RD
OXFORD, MS
ZIP 38655-213
Phone: (662) 915-5272

The enumeration date for this NPI number is 12/11/2006 and was last updated on 2/9/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinicalPS1054MAINENo
2103TC0700XPsychologistClinical907NEW HAMPSHIREYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1201279090 01OTHERNEW HAMPSHIREHARVARD PILGRIM
2RE6199MEDICARE ID-TYPE UNSPECIFIEDNEW HAMPSHIREMEDICARE PROVIDER NUMBER
306Y001129NH01OTHERNEW HAMPSHIREBLUE CROSS BLUE SHIELD
430424636MEDICAIDNEW HAMPSHIRE

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: 4/28/2024

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