Individual provider · Type 1 NPI
Paul Edward Guastadisegni, PhD
Intellectual & Developmental Disabilities Psychologist · Portland, OR
NPI number
1356460901
Active
Practice location
511 SW 10th Ave, Suite 1115
Portland, OR 97205-2732
Fax (503) 223-8844
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 1307 (OR) |
| Clinical Psychologist | 103TC0700X | 1307 (OR) |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 1307 (OR) |
| Forensic Psychologist | 103TF0200X | 1307 (OR) |
| Intellectual & Developmental Disabilities Psychologist Primary | 103TM1800X | 1307 (OR) |
Intellectual & Developmental Disabilities Psychologist: Definition to come...
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About NPI 1356460901
Paul Edward Guastadisegni, PhD's National Provider Identifier is 1356460901, issued on Mar 28, 2007. The primary taxonomy on file is Intellectual & Developmental Disabilities Psychologist (103TM1800X), and the practice location is in Portland, OR. The record was last updated on Sep 11, 2025.