Individual
DR. KRISTEN WILHELMINA GUSTAVSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
402 GRAHAM AVE, SUITE 205, EAU CLAIRE, WI 54701-3649
(715) 579-8465
Mailing address
402 GRAHAM AVE, SUITE 205, EAU CLAIRE, WI 54701-3649
(715) 579-8465
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3306-57
WI
Other
Enumeration date
02/16/2011
Last updated
11/09/2015
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