Freeman Gustafson, Carl Scott

Freeman Gustafson, Carl Scott is an sole proprietor health care provider with primary practice located at 1074 Main St , West Barnstable MA 02668-1142. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Freeman Gustafson, Carl Scott can be contacted via phone (508) 362-1180.

Contact Information

Primary practice address
1074 Main St West Barnstable MA 02668-1142
Phone: (508) 362-1180
Fax: (508) 362-7048
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 8060 Massachusetts

Profile Details

NPI number 1972682557
LBN Legal business name Freeman Gustafson, Carl Scott
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2006
Last updated Jul 9th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972682557 NPPES
Massachusetts MEDICAID 0502944

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