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Individual

DR. BRIAN DANIEL GUSTMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
399 LAUREL ST STE 9, SAN FRANCISCO, CA 94118-1952
(720) 593-1323
Mailing address
399 LAUREL ST STE 9, SAN FRANCISCO, CA 94118-1952
(415) 295-5537

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY.0005139
CO
103TB0200X
Cognitive & Behavioral Psychologist
PSY33397
CA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY33397
CA
103TS0200X
School Psychologist
CTC-200059350
CA

Other

Enumeration date
06/10/2020
Last updated
02/02/2023
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