Gustavson, Lisa Ann

Gustavson, Lisa Ann is an individual health care provider with primary practice located at 1141 E 3900 S Suite A170, Salt Lake City UT 84124-1215. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Gustavson, Lisa Ann can be contacted via phone (801) 284-4990.

Contact Information

Primary practice address
1141 E 3900 S Suite A170 Salt Lake City UT 84124-1215
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 117014-2501 Utah

Profile Details

NPI number 1639140312
LBN Legal business name Gustavson, Lisa Ann
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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