Derra Gullickson
MA, PSYD | Clinical Psychologist | 6+ years Exp
750 N Freedom Blvd, Provo
Utah, 84601-1677
801-373-4760 801-373-0639
Maps & DirectionsDerra 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. 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 |
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.
*
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.