Dr. Lee Gustafson , PhD
Psychologist - Forensic • Everett, WA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Lee Gustafson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Lee Gustafson, PhD was a registered Psychologist - Forensic practicing in Everett, WA. Throughout an active medical career spanning 5 years, Dr. Gustafson provided care at the practice location at 1604 HEWITT AVE until profile deactivation on 2020-07-20.
Practice Location & Contact Primary Location
1604 Hewitt Ave
Suite 615
Everett, WA 982013595
Specialty Benchmarks & Practice Insights
Comparative analytics for Psychologist - Forensic in Everett, WA
Practicing in Everett, WA (24 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 103TF0200X
A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Psychologist - Clinical
Doctor of Philosophy (Ph.D.)
Psychologist - Clinical
Doctor of Philosophy (Ph.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on July 20, 2020
NPI status registered as active in NPPES database
Registered at 1604 HEWITT AVE, SUITE 615, EVERETT, WA 982013595 (Tel: 4253395106)
Registered at 1604 HEWITT AVE, SUITE 615, EVERETT, WA 982013595 (Tel: 4253395106)
Recorded as LEE GUSTAFSON, PH.D.
Psychologist (License #781 in WA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1604 Hewitt Ave, Suite 615
Everett, WA 982013595
Phone: 4253395106
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