Individual provider · Type 1 NPI

Erin Marie Gustafson, LCSW

Developmental Therapist · Chicago, IL

NPI number 1942591466 Active

Practice location

6501 S Promontory Dr
Chicago, IL 60649-1003

Call (773) 256-5778 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X149.017736 (IL)
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1942591466

Erin Marie Gustafson, LCSW's National Provider Identifier is 1942591466, issued on May 2, 2011. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Chicago, IL. The record was last updated on Sep 15, 2021.