Individual
MICHAELA GUSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-9019
Mailing address
51 LINDEN ST APT 7, ALLSTON, MA 02134-1762
(617) 584-4626
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/16/2026
Last updated
02/16/2026
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