Cusick, Gary Matthew
Cusick, Gary Matthew is an sole proprietor health care provider with primary practice located at 1206 Holsworth Ln , Louisville KY 40222-6616. He recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Cusick, Gary Matthew can be contacted via phone (502) 439-0398.Contact Information
Primary practice address
1206 Holsworth Ln
Louisville KY 40222-6616
Phone: (502) 439-0398
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 1344 | Kentucky |
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1344 | Kentucky |
Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 1344 | Kentucky |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1344 | Kentucky |
Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 1344 | Kentucky |
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities | 103TM1800X | 1344 | Kentucky |
Profile Details
NPI number | 1215239801 |
---|---|
LBN Legal business name | Cusick, Gary Matthew |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 2nd, 2010 |
Last updated | Oct 4th, 2012 - about 12 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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