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
Phone: (801) 284-4990
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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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