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Derra Gullickson, MA,PSYD
Clinical Psychologist in Provo, Utah
NPI 1255851333

Derra Gullickson is a Clinical Psychologist based in Provo, UT and is specialized in Clinical. Derra Gullickson practices in Provo, UT and has the professional credentials of MA,PSYD. The NPI Number for Derra Gullickson is 1255851333 and holds a License No. 10979353-2501 (Utah).

The current practice location address for Derra Gullickson is 750 N Freedom Blvd, Provo, UT and can be reached out via phone at 801-373-4760 and via fax at 801-373-0639.

Location: 750 N Freedom Blvd, Provo, UT, 84601-1677
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255851333
Provider Name
Derra Gullickson
Credential
MA,PSYD
Provider Entity Type
Individual
Gender
Female
Address
750 N Freedom Blvd, Provo, UT, 84601-1677
Phone Number
801-373-4760
Fax Number
801-373-0639
Provider Enumeration Date
06/21/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
750 N Freedom Blvd
City
Provo
State
Utah
Zip
84601-1677
Phone Number
801-373-4760
Fax Number
801-373-0639
person
Provider Business Mailing Address Details
Address
750 N Freedom Blvd
City
Provo
State
Utah
Zip
84601-1677
Phone Number
801-373-4760
Fax Number
801-373-0639
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
10979353-2501 (Utah)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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