Individual
DR. DARLENE GUSTAVSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
814 ELM ST, SUITE 515, MANCHESTER, NH 03101-2130
(603) 703-2900
Mailing address
814 ELM ST, SUITE 515, MANCHESTER, NH 03101-2130
(603) 703-2900
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1115
NH
103TC0700X
Clinical Psychologist
PY6867
FL
Other
Enumeration date
02/02/2006
Last updated
05/14/2008
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