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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. LISA ANN GUSTAVSON, PH.D.

Active

DR. LISA ANN GUSTAVSON, PH.D. is a Counseling Psychologist healthcare provider located in SALT LAKE CITY, Utah. NPI 1639140312 is currently active in the NPPES registry. Verify at CMS.

Counseling Psychologist · SALT LAKE CITY, UT

Registration Details

NPI Number
1639140312
Provider Type
Individual
Gender
Female
NPI Issued
Jan 30, 2006 (20.494321643225 yrs)
Last Updated
Jul 8, 2007
License
117014-2501 (UT)

Practice Information

Address
1141 E 3900 S
SUITE A170
SALT LAKE CITY, UT, 841241215
Browse UT providers · Browse ZIP 84124
Phone
8012844990
Primary Specialty
Counseling Psychologist
103TC1900X

Other Counseling Psychologist Providers in SALT LAKE CITY, UT

Name Credential NPI
DR. BETH KATHLEEN RAKKE PH.D. 1285624734
DR. MICHAEL JAMES LIND PH.D. 1275523730
DR. MARGARET WILSON MORRIS PH.D. 1467423798
KENNETH JOHN HOPPS PH.D. 1265404032
DR. ARVEL LEE BECKSTEAD PH.D. 1952364622
JULIA ANN MATHEWS PSYCH 1356390975
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.