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WALLACE ANN GUSTAFSON MAP, MA
NPI 1972212959
Student in an Organized Health Care Education/Training Program in Hartford, CT

Active since November 18, 2022
331 WETHERSFIELD AVE, HARTFORD, CT 06114(860) 236-4511 Get Directions Write a Review

NPPES record last updated: November 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wallace Ann Gustafson Map, Ma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALLACE ANN GUSTAFSON MAP, MA (NPI 1972212959) is an individual student in an organized health care education/training program in Hartford, Connecticut and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1972212959
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameWALLACE ANN GUSTAFSONCredential: MAP, MA
Location Address331 WETHERSFIELD AVEHartford, CT 06114-1420
Mailing AddressPo Box 567Willmar, MN 56201-0567
Phone(860) 236-4511
Sole ProprietorNo
Enumeration DateNovember 18, 2022
NPPES CertifiedNovember 18, 2022
✔ NPI 1972212959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
331 WETHERSFIELD AVE, Hartford, CT 06114
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREL BARRETT LCSW
Social Worker (Clinical)
331 WETHERSFIELD AVE
HARTFORD, CT 06114
Capitol Planning Region (860) 971-4761
MRS. JOELLE L. FIGUEROA LCSW
Social Worker (Clinical)
331 WETHERSFIELD AVE
HARTFORD, CT 06114
Capitol Planning Region (860) 236-4511
VICTORIA FORLINI
Student in an Organized Health Care Education/Training Program
331 WETHERSFIELD AVE
HARTFORD, CT 06114
Capitol Planning Region (860) 236-4511
MS. LEEANN M RHEAUME PSY.D.
Psychologist (Clinical)
331 WETHERSFIELD AVE, VILLAGE FOR FAMILIES AND CHILDREN
HARTFORD, CT 06114
Capitol Planning Region (860) 236-4511
AFUA AGYEMAN
Counselor
331 WETHERSFIELD AVE
HARTFORD, CT 06114
Capitol Planning Region (860) 297-0592
MRS. TAMMY LEE MORRIS-JONES B.A.
Counselor
331 WETHERSFIELD AVE
HARTFORD, CT 06114
Capitol Planning Region (860) 236-4511
MARISA D'AMICO LMFT
Marriage & Family Therapist
331 WETHERSFIELD AVE
HARTFORD, CT 06114
Capitol Planning Region (860) 236-4511
JAJAHIRA BENITEZ
Counselor
331 WETHERSFIELD AVE
HARTFORD, CT 06114
Capitol Planning Region (860) 236-4511

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wallace Gustafson's NPI number?

The NPI number for Wallace Gustafson is 1972212959. It was assigned to this individual provider in the NPPES registry on November 18, 2022.

Where is Wallace Gustafson located?

Wallace Gustafson practices at 331 Wethersfield Ave, Hartford, CT 06114. The listed phone number is (860) 236-4511.

What is Wallace Gustafson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Wallace Gustafson was last updated on November 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.