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DR. HOLLY BETH GUSTAFSON PHD
NPI 1013064112
Psychologist - Clinical Child & Adolescent in Louisville, KY

Active since January 04, 2007
1169 EASTERN PKWY, STE 431, LOUISVILLE, KY 40217(502) 212-1032(502) 212-1033 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Holly Beth Gustafson Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. HOLLY BETH GUSTAFSON PHD (NPI 1013064112) is an individual clinical child & adolescent provider in Louisville, Kentucky, licensed in Kentucky (736) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1013064112
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameDR. HOLLY BETH GUSTAFSONCredential: PHD
Location Address1169 EASTERN PKWY, STE 431Louisville, KY 40217-1417
Mailing Address1169 Eastern Pkwy, Ste 431Louisville, KY 40217-1417 · (502) 212-1032 · Fax (502) 212-1033
Phone(502) 212-1032
Fax(502) 212-1033
Sole ProprietorYes
Enumeration DateJanuary 4, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1013064112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in KY · 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 is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
1169 EASTERN PKWY, Louisville, KY 40217
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOLLY PIPER RUCKS LPCC
Counselor (Mental Health)
1169 EASTERN PKWY, #2339
LOUISVILLE, KY 40217
Jefferson County (502) 408-3223
MRS. JENNIFER DIANE HALE M.A.
Psychologist (Clinical)
1169 EASTERN PKWY, STE 2252
LOUISVILLE, KY 40217
Jefferson County (502) 454-4040
MRS. MARY BETH EVANS
Physical Therapist
1169 EASTERN PKWY, SUITE 2313
LOUISVILLE, KY 40217
Jefferson County (502) 309-9800
KAYLA DENISE WHEATLEY
Social Worker
1169 EASTERN PKWY
LOUISVILLE, KY 40217
Jefferson County (502) 693-1606
JANAJA KNOTT
Behavior Technician
1169 EASTERN PKWY
LOUISVILLE, KY 40217
Jefferson County (502) 242-9091
ROSEMARY DEFRANCISCI LMFT
Marriage & Family Therapist
1169 EASTERN PKWY, SUITE 3450
LOUISVILLE, KY 40217
Jefferson County (812) 697-1845
LOUISVILLE GASTROENTEROLOGY ASSOCIATES, PLLC
Nurse Anesthetist, Certified Registered
1169 EASTERN PKWY, SUITE G58
LOUISVILLE, KY 40217
Jefferson County (502) 452-9567
KATHERINE HAYES TRENTHAM LCSW
Social Worker (Clinical)
1169 EASTERN PKWY, SUITE 1166
LOUISVILLE, KY 40217
Jefferson County (502) 451-8262

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holly Gustafson's NPI number?

The NPI number for Holly Gustafson is 1013064112. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Where is Holly Gustafson located?

Holly Gustafson practices at 1169 Eastern Pkwy Ste 431, Louisville, KY 40217. The listed phone number is (502) 212-1032.

What is Holly Gustafson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

When was this NPI record last updated?

The NPPES record for Holly Gustafson was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.