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Genny Gaustad, MC

NPI 1407011430 · on the registry since 2008 · sole proprietor

Practice

Address
1300 S Mill Ave
Tempe, AZ 85281
Phone
(480) 329-5578
Organisation at this address
Tad Skinner, Ph.D. Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-06-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona