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:
Health care specialties
| Specialty | Code | License # | 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.
Popular Providers
-
Allard, Anna Mary
411 E Chestnut St , Louisville KY 40202-1713 -
Kravic, John Nicholas
111 S Sherrin Ave , Louisville KY 40207-3221 -
Underwood, Robert Allen
220 Abraham Flexner Way 6Th Floor Psychology Department, Louisville KY 40202-3826 -
Grimes, Laurie Mount
411 E Chestnut St , Louisville KY 40202-1713 -
Calvery, Margaret L
571 S Floyd St Ste 100 , Louisville KY 40202-3827 -
Stockhammer, Tanya
200 East Chestnut Street , Louisville KY 40202 -
Rabineau, Kristen
1238 E Broadway , Louisville KY 40204-1714 -
Hino, Deborah A
101 W Muhammad Ali Blvd , Louisville KY 40202-1423