Gustafson, Holly Beth

Gustafson, Holly Beth is an sole proprietor health care provider with primary practice located at 1169 Eastern Pkwy Ste 431, Louisville KY 40217-1417. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Gustafson, Holly Beth can be contacted via phone (502) 212-1032.

Contact Information

Primary practice address
1169 Eastern Pkwy Ste 431 Louisville KY 40217-1417
Phone: (502) 212-1032
Fax: (502) 212-1033
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 736 Kentucky

Profile Details

NPI number 1013064112
LBN Legal business name Gustafson, Holly Beth
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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