Individual
ROB GUSHURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1011 CLEARVIEW AVE, FREDERICKSBURG, VA 22405-1919
(540) 371-3940
Mailing address
1011 CLEARVIEW AVE, FREDERICKSBURG, VA 22405-1919
(540) 371-3940
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810000628
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0030590000
MAGELLAN
VA
01
—
1051829
CIGNA BEH HEALTH
VA
01
—
1553334
CIGNA HEALTH CARE
VA
01
—
274305
ANTHEM
VA
01
—
6131524
UNITED BEH HEALTH
VA
01
—
62638
UNITHE HEALTH CARE
VA
05
—
7755261
—
VA
Enumeration date
05/18/2006
Last updated
02/17/2008
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