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Contact Information

GARY M CUSICK, PHD
1206 HOLSWORTH LN
LOUISVILLE, KY40222-6616
 Phone: 502-439-0398
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Counseling

103TC1900X 62 Psychologist, Clinical
 

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
 

Mental Health

101YM0800X
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for GARY M CUSICK · (Male)

NPI # 1215239801
Status Active
Credentials PHD
Entity Individual
Enumeration date 12/02/2010
Last updated 10/04/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • KY License # 1344
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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