DERRA GULLICKSON, MA, PSYD
Psychologist - Clinical
Active
Individual
NPI: 1255851333
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist - Clinical | 103TC0700X | Yes | 10979353-2501 (UT) |
Frequently Asked Questions
NPI 1255851333 is the National Provider Identifier for DERRA GULLICKSON, MA, PSYD, a Psychologist - Clinical provider located in Provo, UT. This NPI was enumerated on June 21, 2017.
DERRA GULLICKSON, MA, PSYD practices at 750 N FREEDOM BLVD, Provo, UT 84601.
Quick Facts
- NPI
- 1255851333
- Type
- Individual
- Enumerated
- Jun 21, 2017
- Last Updated
- Oct 31, 2019
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