Individual
DR. KAY MARIE GUSTAFSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2501 CAPEHART RD, OFFUTT AFB, NE 68113-1043
(402) 294-7411
(402) 294-7085
Mailing address
1700 SKYLINE DR, ELKHORN, NE 68022-1741
(402) 658-2415
(402) 333-2298
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
069
NE
103TC0700X
Clinical Psychologist
69
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080-66
BLUE CROSS BLUE SHIELD
NE
Enumeration date
09/16/2006
Last updated
04/02/2025
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