SearchWisconsinCounseling Psychologist

Samuel Lustgarten, PHD

NPI 1477197929 · on the registry since 2019 · sole proprietor

Practice

Address
702 N Blackhawk Ave Ste 205
Madison, WI 53705
Phone
(720) 260-4362
Fax
(971) 999-0817
Organisation at this address
Nrrc, Sc
Self & Others
Arjune Rama Md Llc
Center Stage Therapy
Tall Oaks Therapy, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
47

Additional practice sites

  • 7409 Sw Capitol Hwy Ste 207, Portland, OR

Registry record

Primary taxonomy
Counseling Psychologist
103TC1900X
Also registered as
Counseling Psychologist
Licence states on file
OR, WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-12-29

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 Wisconsin