DR. Lisa Ann Gustavson, PH.D.
NPI #1639140312 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1639140312
- Entity Type
- Individual
- Name
- DR. Lisa Ann Gustavson, PH.D.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Psychologist - Counseling
- Credential
- PH.D.
- Enumeration Date
- Jan 30, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1141 E 3900 S
- Address 2
- SUITE A170
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84124-1215
- Phone
- (801) 284-4990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Counseling — Counseling |
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