Derra Gullickson, MA, PSYD is a clinical psychologist in Provo, UT with 6 years of experience. The provider is 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. Derra Gullickson, MA, PSYD NPI is 1255851333. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
750 N FREEDOM BLVD
PROVO, UT
ZIP 84601-677
Phone: (801) 373-4760
Fax: (801) 373-0639
The NPI 1255851333 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.
The enumeration date for this NPI number is 6/21/2017 and was last updated on 10/31/2019.