Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Holly Beth Gustafson, PHD

Individual provider Clinical Child & Adolescent Psychologist · NPI 1013064112

Dr. Holly Beth Gustafson, PHD is a Clinical Child & Adolescent Psychologist in Louisville, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1169 Eastern Pkwy Ste 431
Louisville, KY 40217-1417
Phone: (502) 212-1032
Fax: (502) 212-1033
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X · Licence 736 (KY)

Record details

NPI number1013064112
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedJanuary 4, 2007
Last updated in NPPESJuly 8, 2007

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