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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. HOLLY BETH GUSTAFSON, PHD

Active Sole Proprietor

DR. HOLLY BETH GUSTAFSON, PHD is a Child, Clinical Psychologist healthcare provider located in LOUISVILLE, Kentucky. NPI 1013064112 is currently active in the NPPES registry. Verify at CMS.

Child, Clinical Psychologist · LOUISVILLE, KY

Registration Details

NPI Number
1013064112
Provider Type
Individual
Gender
Female
NPI Issued
Jan 4, 2007 (19.640261549661 yrs)
Last Updated
Jul 8, 2007
License
736 (KY)
Sole Proprietor
Yes

Practice Information

Address
1169 EASTERN PKWY
STE 431
LOUISVILLE, KY, 402171417
Browse KY providers · Browse ZIP 40217
Phone
5022121032
Fax
5022121033
Primary Specialty
Child, Clinical Psychologist
103TC2200X

Other Child, Clinical Psychologist Providers in LOUISVILLE, KY

Name Credential NPI
ANNA MARY ALLARD 1447235429
EVA R MARKHAM ED D 1891772273
DR. GRACE MATHAI KURAVACKEL PH.D 1205814639
LISA RUBLE PHD 1871571810
DR. BRYAN D CARTER PHD 1992899611
DR. FELICIA D SMITH PH.D. 1083703441
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.