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Dr. Holly Beth Gustafson

Clinical Child & Adolescent Psychologist

1169 Eastern Pkwy Ste 431
Louisville , Kentucky 40217-1417

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Dr. Holly Beth Gustafson

Clinical Child & Adolescent Psychologist

1169 Eastern Pkwy Ste 431
Louisville , Kentucky 40217-1417

(502) 212-1033

Write a Review Save Call

Dr. Holly Beth Gustafson

Clinical Child & Adolescent Psychologist

1169 Eastern Pkwy Ste 431
Louisville , Kentucky 40217-1417

(502) 212-1033 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Clinical Child & Adolescent Psychologist

Languages spoken

  • English

Location

1169 Eastern Pkwy Ste 431 Louisville , Kentucky 40217-1417

First Address

  • Dr. Holly Beth Gustafson
  • 1169 Eastern Pkwy Ste 431
  • Louisville, KY
  • Zip : 40217-1417
  • Fax : (502) 212-1033
  • Phone : (502) 212-1032

Second Address

  • Dr. Holly Beth Gustafson
  • 1169 Eastern Pkwy Ste 431
  • Louisville, KY
  • Zip : 40217-1417
  • Fax : (502) 212-1033
  • Phone : (502) 212-1032

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FAQs


Where did Dr. Holly Beth Gustafson attend graduate school?

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Where did Dr. Holly Beth Gustafson do her residency?

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Where did Dr. Holly Beth Gustafson do her fellowship?

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Is Dr. Holly Beth Gustafson board certified?

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What type of doctor is Dr. Holly Beth Gustafson

Clinical Child & Adolescent Psychologist

In what state does Dr. Holly Beth Gustafson practice in?

Kentucky

Where is Dr. Holly Beth Gustafson ’s practice located?

1169 Eastern Pkwy Ste 431 , Louisville, Kentucky, 40217-1417

What is Dr. Holly Beth Gustafson ’s gender?

Female

Is Dr. Holly Beth Gustafson a sole practitioner?

No

Is Dr. Holly Beth Gustafson accepting new patients?

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What languages does Dr. Holly Beth Gustafson speak?

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Does Dr. Holly Beth Gustafson accept insurance?

Yes, Dr. Holly Beth Gustafson accepts insurance

Does Dr. Holly Beth Gustafson offers telemedicine?

Dr. Holly Beth Gustafson has not indicated if she offers telemedicine

What is Dr. Holly Beth Gustafson ’s professional license number?

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What is Dr. Holly Beth Gustafson ’s NPI number?

1013064112

Does Dr. Holly Beth Gustafson have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 103TC2200X Clinical Child & Adolescent Psychologist 736 KY

National Provider Identifier

NPI 1013064112
Provider Name Dr. Holly Beth Gustafson
First Address Louisville, KY 40217-1417
Second Address Louisville, KY 40217-1417
Gender F
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 04/01/2007
Last Update Date 08/07/2007

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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