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Edit this profileDerra Gullickson, MA, PsyD is a psychologist — clinical based in Provo, UT. The provider's National Provider Identifier (NPI) is 1255851333.
Factual summary compiled by Guide.md from public records; not written by this provider.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
750 N FREEDOM BLVD
Provo, UT 84601
705 N Freedom Blvd.
Provo, UT 84601
Dr. Gullickson is a psychologist in Provo, UT. That is the designation recorded for this NPI in the federal registry, where it is listed as “Psychologist — Clinical”.
NPI registry
Dr. Gullickson is listed at 750 N Freedom Blvd, Provo, UT 84601. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (801) 373-4760. Contact the office directly to confirm availability and scheduling.
NPI registry
Dr. Gullickson's National Provider Identifier is 1255851333. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Dr. Gullickson attended Other, graduating in 2018. This comes from the CMS National Downloadable File.
CMS public data
Dr. Gullickson has 8 years experience. Calculated from a graduation year of 2018, reported in the CMS National Downloadable File.
CMS public data
Not yet. This profile is built from public federal data and has not been confirmed by Dr. Gullickson. If this is you, claiming it is free.
Guide.md
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