Holly Beth Gustafson PHD

NPI 1013064112 - Psychologist - 103TC2200X

NPI Details
NPI 1013064112
Gender Female
Enumeration Date 01/04/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1169 EASTERN PKWY
STE 431
LOUISVILLE KY, 40217-1417, US
Phone (502) 212-1032
Fax (502) 212-1033
Business Location
1169 EASTERN PKWY
STE 431
LOUISVILLE KY, 40217-1417, US
Phone (502) 212-1032
Fax (502) 212-1033
Toxanomy
Taxonomy Code 103TC2200X
License State Kentucky
License Number 736
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According to our database, Dr. Holly Beth Gustafson PHD NPI is 1013064112, taxonomy code is 103TC2200X and license number is 736, license state is located at Kentucky. Holly Beth Gustafson PHD physically located at 1169 Eastern Pkwy, Louisville KY, 40217-1417. NPI Number Holly Beth Gustafson PHD has the Individual type.

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1013064112 NPI number is provided on an as is basis without warranty of any kind. 1013064112 is maintained by the National Plan & Provider Enumeration System. The contents of Holly Beth Gustafson PHD are for informational purposes only.