# DR. BRIAN DANIEL GUSTMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1902421415
- **Gender:** Man
- **Credential:** PHD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | PSY.0005139 | CO | — |
| 103TB0200X | Cognitive & Behavioral Psychologist | PSY33397 | CA | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | PSY33397 | CA | Yes |
| 103TS0200X | School Psychologist | CTC-200059350 | CA | — |

## Other

- **Enumeration date:** 06/10/2020
- **Last updated:** 02/02/2023