Holly Beth Gustafson in Louisville - Clinical Child & Adolescent
Holly Beth Gustafson - NPI 1013064112
Holly Beth Gustafson is a Clinical Child & Adolescent in Louisville, Kentucky. Holly Beth Gustafson practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Holly Beth Gustafson is 1013064112. The last update date is 2007-07-08.
Holly Beth Gustafson's current location address is 1169 Eastern Pkwy, Louisville, Kentucky. You can contact this provider via phone number 5022121032 and fax number 5022121033. The mailing address for Holly Beth Gustafson is 1169 Eastern Pkwy, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Holly Beth Gustafson |
|---|---|
| Address | 1169 Eastern Pkwy, Louisville, Kentucky |
| Phone Number | 5022121032 |
| Fax Number | 5022121033 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1013064112 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1169 Eastern Pkwy |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402171417 |
| Phone Number | 5022121032 |
| Fax Number | 5022121033 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 736 |
|
Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Holly Beth Gustafson?
The Holly Beth Gustafson has been issued the NPI (National Provider Identifier) 1013064112 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Holly Beth Gustafson located?
The Holly Beth Gustafson is located at 1169 Eastern Pkwy, Louisville, KY 402171417.
What is Holly Beth Gustafson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Holly Beth Gustafson's specialized field of practice is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc2200X.
When did the Holly Beth Gustafson receive its 1013064112?
The Holly Beth Gustafson was issued its 1013064112 on 2007-01-04, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Holly Beth Gustafson last refreshed?
The information related to the Holly Beth Gustafson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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