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Search › Pennsylvania › 104100000X

Nissa Gustafson, LSW

NPI 1508759382 · on the registry since 2025

Practice

Address
112 E Allen St Unit 3
Philadelphia, PA 19125
Phone
(215) 278-9444
Organisation at this address
Perez Therapy, Llc
Perez Therapy, Llc
Perez Therapy, Llc
Perez Therapy, Llc
Perez Therapy, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
24

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-05-31

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 Pennsylvania