Dr. Derra Gullickson , MA, PsyD
Psychologist - Clinical • Provo, UT
Professional Overview & Biography Verified Profile Summary
Dr. Derra Gullickson, MA, PsyD is a certified Psychologist - Clinical practicing in Provo, UT. With approximately 8 years of clinical experience since completing medical education in 2018, Dr. Gullickson delivers high-quality medical care to the local community at 750 N FREEDOM BLVD.
Dr. Gullickson is affiliated with Wasatch Behavioral Health Special Service District and accepts Medicare assignment.
Practice Location & Contact Primary Location
750 N Freedom Blvd
Provo, UT 846011677
Medicare Profile & Education
Other
2018
✓ Accepts Assignment
In-Person Only
Specialty Benchmarks & Practice Insights
Comparative analytics for Psychologist - Clinical in Provo, UT
Practicing in Provo, UT (451 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Clinical Seniority & Experience Comparison
Medical Specialties & State Licenses
NUCC Taxonomy Code: 103TC0700X
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Hospital & Practice Group Affiliations
Wasatch Behavioral Health Special Service District
750 N Freedom Blvd, Provo, UT 846011677
Phone: 8013734760
Secondary Practice Locations
705 N Freedom Blvd.
Provo, UT 84601
Phone: 6129106371
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Case Manager/Care Coordinator
Social Worker
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program
Psychologist - Clinical
Doctor of Philosophy (Ph.D.), Licensed Psychologist
Student in an Organized Health Care Education/Training Program
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 750 N FREEDOM BLVD, PROVO, UT 846011677 (Tel: 8013734760)
Registered at 750 N FREEDOM BLVD, PROVO, UT 846011677 (Tel: 8013734760)
Recorded as DERRA GULLICKSON, MA, PSYD
Psychologist (License #10979353-2501 in UT)
NPI status registered as active in NPPES database
Registered at 705 N FREEDOM BLVD., PROVO, UT 84601 (Tel: 6129106371)
Registered at 652 W 1428 S, OREM, UT 840587392 (Tel: 6129106371)
Recorded as DERRA GULLICKSON, MA
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
750 N Freedom Blvd
Provo, UT 846011677
Phone: 8013734760
This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.