Derra Gullickson is a Provo, Utah based psychologist with 6 years of experience in Clinical Psychology. She completed her graduation in 2018. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Derra Gullickson is 10979353-2501 for Clinical Psychology in Utah. Her current practice location is 750 N Freedom Blvd, Provo. Patients can reach her at 801-373-4760 or can fax her at 801-373-0639. Derra Gullickson is MA, PSYD in Clinical Psychology and her NPI number (Unique professional ID assigned by NPPES) is 1255851333. Derra Gullickson is a mental health professional with highly specialized training in the diagnosis and psychological treatment of mental, behavioral and emotional illnesses, including obsessive-compulsive disorder (OCD). Her main focus is on diagnosing and treating mental, emotional, and behavioral disorders. Some of the common disorders that she can treat are learning disabilities, substance abuse, depression, anxiety, and eating disorders.
Complete Profile:
Derra Gullickson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Derra Gullickson
Specialization:
Clinical Psychology
Gender:
Female
Credentials:
MA, PSYD
Experience:
6+ years
Medical School Attended:
Other
Graduation Year:
2018
Accepts Medicare Assignment:
Yes
Practice Address:
750 N Freedom Blvd, Provo, Utah, 84601-1677
Phone:
801-373-4760
Fax:
801-373-0639
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8224461926
Enrollment ID:
I20191211001458
NPI Number:
1255851333
NPI Enumeration Date:
21 Jun, 2017
NPI Last Update On:
31 Oct, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Derra Gullickson are as mentioned below.
License Number
Specialization
State
Status
10979353-2501
Clinical Psychology
Utah
Primary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Derra Gullickson is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Wasatch Behavioral Health Special Service District (2567367915)
46
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Derra Gullickson 750 N Freedom Blvd, Provo, Utah
Zip:
84601-1677
Phone Number:
801-373-4760
Patients can reach Derra Gullickson at 750 N Freedom Blvd, Provo, Utah or can call to book an appointment on 801-373-4760.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.