Individual provider · Type 1 NPI

Derra Gullickson, MA, PSYD

Clinical Psychologist · Provo, UT

NPI number 1255851333 Active

Practice location

750 N Freedom Blvd
Provo, UT 84601-1677

Call (801) 373-4760 Map

Fax (801) 373-0639

Other practice locations

  • 705 N Freedom Blvd., Provo, UT 84601 · (612) 910-6371

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X10979353-2501 (UT)

Clinical Psychologist: 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 discip…

1,360 other providers at this address

Other clinical psychologist providers in Provo

See all in Provo →

About NPI 1255851333

Derra Gullickson, MA, PSYD's National Provider Identifier is 1255851333, issued on Jun 21, 2017. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Provo, UT. The record was last updated on Oct 31, 2019.