Gustafson, Lisa

Gustafson, Lisa is an individual health care provider with primary practice located at 200 E Main Ave Suite 202, Bismarck ND 58501-3857. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gustafson, Lisa can be contacted via phone (701) 400-5472.

Contact Information

Primary practice address
200 E Main Ave Suite 202 Bismarck ND 58501-3857
Phone: (701) 400-5472
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 474 North Dakota

Profile Details

NPI number 1932542180
LBN Legal business name Gustafson, Lisa
Credentials PH.D., PLLC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2013
Last updated Oct 27th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers