Individual
PAUL EDWARD GUASTADISEGNI
Active
Individual
PAUL EDWARD GUASTADISEGNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
1307
OR
103TC0700X
Clinical Psychologist
1307
OR
103TC2200X
Clinical Child & Adolescent Psychologist
1307
OR
103TF0200X
Forensic Psychologist
1307
OR
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
1307
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159027
—
OR
01
—
M39331
OREGON VENDOR NUMBER
OR
Enumeration date
03/28/2007
Last updated
09/11/2025
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