Derra Gullickson MA, PSYD

  • NPI 1255851333
According to our database, the NPI number for Derra Gullickson MA, PSYD is 1255851333 and activated since 6 years ago. Derra Gullickson MA, PSYD is an individual provider who specializes in Clinical, and the primary practice location is 750 N Freedom Blvd, Provo, UT 84601. You can also contact Derra Gullickson MA, PSYD via telephone number is (801) 373-4760. Provider NPI information was last updated on 10/31/2019.

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Overview of Derra Gullickson MA, PSYD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 06/21/2017
  • Last updated: 10/31/2019

Primary Scrop of Practice

  • Taxonomy Code: 103TC0700X
  • Specialty: Clinical
  • License Number: 10979353-2501
  • License State: UT

Provider Mailing Address

  • Address: 750 N Freedom Blvd
    Provo, UT 84601
  • Phone: 801-373-4760
  • Fax:

Provider Practice Location

  • Address: 750 N Freedom Blvd
    Provo, UT 84601
  • Phone: 801-373-4760
  • Fax: 801-373-0639

Scope of Practice

  • Taxonomy Code: 103TC0700X
  • Specialty: Clinical
  • License Number: 10979353-2
  • License State: UT
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Derra Gullickson MA, PSYD?
  • A: The npi number for Derra Gullickson MA, PSYD is 1255851333.
  • Q: What are Derra Gullickson MA, PSYD's specialties?
  • A: Derra Gullickson MA, PSYD's specialties are Clinical and different specialities.
  • Q: What is the medical license for Derra Gullickson MA, PSYD?
  • A: The medical license number for Derra Gullickson MA, PSYD is 10979353-2501 and issued in UT in USA.
  • Q: Where is Derra Gullickson MA, PSYD practice location?
  • A: Derra Gullickson MA, PSYD is practicing at 750 N Freedom Blvd, Provo, UT 84601.
  • Q: How to contact Derra Gullickson MA, PSYD?
  • A: You can contact Derra Gullickson MA, PSYD via 801-373-4760.
Medicare Specialty
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Addiction Medicine
Clinical Pharmacology
Family Medicine
Dental Assistant
Dental Public Health
Optometrist
Occupational Health
Sports Physician
Mental Health
Physical Therapist
Pharmacy Technician
Medical Technologist
Ph.D. Medical Genetics
Military Health Care Provider
Clinical Nurse Specialist
Family Health
Nurse Massage Therapist
Sports Medicine
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Content provided by MDNPI.com mainly comes from Centers for Medicare & Medicaid Services (CMS) published data and the FOIA-disclosable NPPES health care provider data file.