Dr Holly Beth Gustafson, PHD - Psychologist in Louisville, KY

Dr Holly Beth Gustafson, PHD is a Psychologist - Clinical Child & Adolescent based in Louisville, Kentucky. Dr Holly Beth Gustafson is licensed to practice in Kentucky (license number 736) and her current practice location is 1169 Eastern Pkwy, Ste 431, Louisville, Kentucky. She can be reached at her office (for appointments etc.) via phone at (502) 212-1032.

NPI number for Dr Holly Beth Gustafson is 1013064112 and her current mailing address is 1169 Eastern Pkwy, Ste 431, Louisville, Kentucky. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013064112.

Contact Information

Dr Holly Beth Gustafson, PHD
1169 Eastern Pkwy, Ste 431,
Louisville, KY 40217-1417
(502) 212-1032
(502) 212-1033

Map and Direction




Healthcare Provider's Profile

Full NameDr Holly Beth Gustafson
GenderFemale
SpecialityPsychologist - Clinical Child & Adolescent
Location1169 Eastern Pkwy, Louisville, Kentucky
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1013064112
  • Provider Enumeration Date: 01/04/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Holly Beth Gustafson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013064112NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC2200XPsychologist - Clinical Child & Adolescent 736 (Kentucky)Primary

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 Holly Beth Gustafson 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 AddressPractice Location Address
Dr Holly Beth Gustafson, PHD
1169 Eastern Pkwy, Ste 431,
Louisville, KY 40217-1417

Ph: (502) 212-1032
Dr Holly Beth Gustafson, PHD
1169 Eastern Pkwy, Ste 431,
Louisville, KY 40217-1417

Ph: (502) 212-1032

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