NPI 1013064112

Holly Beth Gustafson, PHD

Practitioner Clinical Child & Adolescent Psychologist Louisville, KY

Practice location

Address: 1169 Eastern Pkwy STE 431, Louisville, KY 40217-1417
Phone: (502) 212-1032
Fax: (502) 212-1033

Registered specialties

Clinical Child & Adolescent Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC2200X Licence 736 (KY)

Other Psychologist providers in Kentucky →

Registry record

NPI: 1013064112
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Jan 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.