Dr Gary Matthew Cusick, PHD is a
Psychologist - Clinical based in Louisville, Kentucky. Dr Gary Matthew Cusick is licensed to practice in Kentucky (license number 1344) and his current practice location is
1206 Holsworth Ln, Louisville, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(502) 439-0398.
NPI number for Dr Gary Matthew Cusick is 1215239801 and his current mailing address is 1206 Holsworth Lane, Louisville, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215239801.
Healthcare Provider's Profile
| Full Name | Dr Gary Matthew Cusick |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 1206 Holsworth Ln, Louisville, Kentucky |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1215239801
- Provider Enumeration Date: 12/02/2010
- Last Update Date: 10/04/2012
Medical Identifiers
Medical identifiers for Dr Gary Matthew Cusick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215239801 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 1344 (Kentucky) | Secondary |
| 103T00000X | Psychologist | 1344 (Kentucky) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | 1344 (Kentucky) | Secondary |
| 103TC0700X | Psychologist - Clinical | 1344 (Kentucky) | Primary |
| 103TC1900X | Psychologist - Counseling | 1344 (Kentucky) | Secondary |
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | 1344 (Kentucky) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gary Matthew Cusick is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Gary Matthew Cusick, PHD
1206 Holsworth Lane,
Louisville, KY 40222-6616
Ph: () - | Dr Gary Matthew Cusick, PHD
1206 Holsworth Ln,
Louisville, KY 40222-6616
Ph: (502) 439-0398 |
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