Individual
DR. CODY L GUSTAVESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
8881 FLETCHER PKWY STE 350-360, LA MESA, CA 91942-3134
(858) 279-1223
Mailing address
8881 FLETCHER PKWY STE 350-360, LA MESA, CA 91942-3134
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
34321
CA
Other
Enumeration date
07/09/2020
Last updated
01/24/2025
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