Gustafson, Eileen
Gustafson, Eileen is an sole proprietor health care provider with primary practice located at 10335 Cross Creek Blvd Suite 23, Tampa FL 33647-2795. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gustafson, Eileen can be contacted via phone (352) 428-8463.Contact Information
Primary practice address
10335 Cross Creek Blvd Suite 23
Tampa FL 33647-2795
Phone: (352) 428-8463
Fax: (352) 597-2074
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6283 | Florida |
Profile Details
| NPI number | 1477545846 |
|---|---|
| LBN Legal business name | Gustafson, Eileen |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 22nd, 2005 |
| Last updated | Jul 3rd, 2008 - about 18 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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