DR. LISA GUSTAVSON, PH.D.
Psychologist - Counseling
Active
Individual
NPI: 1639140312
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist - Counseling | 103TC1900X | Yes | 117014-2501 (UT) |
Frequently Asked Questions
NPI 1639140312 is the National Provider Identifier for DR. LISA GUSTAVSON, PH.D., a Psychologist - Counseling provider located in Salt Lake City, UT. This NPI was enumerated on January 30, 2006.
DR. LISA GUSTAVSON, PH.D. practices at 1141 E 3900 S, SUITE A170, Salt Lake City, UT 84124.
Quick Facts
- NPI
- 1639140312
- Type
- Individual
- Enumerated
- Jan 30, 2006
- Last Updated
- Jul 8, 2007
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