Gustavson, Darlene

Gustavson, Darlene is an sole proprietor health care provider with primary practice located at 814 Elm St Suite 515, Manchester NH 03101-2130. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gustavson, Darlene can be contacted via phone (603) 703-2900.

Contact Information

Primary practice address
814 Elm St Suite 515 Manchester NH 03101-2130
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY6867 Florida
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1115 New Hampshire

Profile Details

NPI number 1336111475
LBN Legal business name Gustavson, Darlene
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2006
Last updated May 14th, 2008 - about 16 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.

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