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Individual
DR. BRIAN DANIEL GUSTMAN
Active
Individual
DR. BRIAN DANIEL GUSTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY.0005139
CO
103TB0200X
Cognitive & Behavioral Psychologist
PSY33397
CA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY33397
CA
103TS0200X
School Psychologist
CTC-200059350
CA
Other
Enumeration date
06/10/2020
Last updated
02/02/2023
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