Holly Gustafson, PHD

NPI 1013064112 · on the registry since 2007 · sole proprietor

Practice

Address: 1169 Eastern Pkwy
Ste 431
Louisville, KY 40217
Phone: (502) 212-1032
Fax: (502) 212-1033
Organisation at this address: Sscp1 Llc
Julie Hansen
Milady'S,Llc
Joshuas House
The Calm Mind
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 229

Registry record

Primary taxonomy: 103TC2200X
103TC2200X
Licence states on file: KY
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky