DR. Holly Beth Gustafson, PHD
NPI #1013064112 in Louisville, Kentucky
Provider Information
- NPI Number
- 1013064112
- Entity Type
- Individual
- Name
- DR. Holly Beth Gustafson, PHD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - Clinical Child & Adolescent
- Credential
- PHD
- Enumeration Date
- Jan 4, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1169 EASTERN PKWY
- Address 2
- STE 431
- City
- Louisville
- State
- Kentucky
- ZIP Code
- 40217-1417
- Phone
- (502) 212-1032
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent |
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