Individual
DR. EMILY GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., NCSP
Contact information
Practice address
213 DECATUR ST, PORT TOWNSEND, WA 98368-4623
(360) 302-0756
Mailing address
821 ROOSEVELT ST, PORT TOWNSEND, WA 98368-5422
(360) 302-0756
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PY60382123
WA
103TS0200X
School Psychologist
PY60382123
WA
Other
Enumeration date
10/25/2013
Last updated
02/06/2026
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