DR. LISA ANN GUSTAVSON (PH.D.) – Counseling Psychologist, NPI 1639140312

DR. LISA ANN GUSTAVSON (PH.D.) is a healthcare provider. based in Salt lake city, Utah. specializing in Counseling Psychologist. They hold the professional credentials PH.D.. They hold a License No. 117014-2501 (UT). The NPI Number for DR. LISA ANN GUSTAVSON (PH.D.) is 1639140312

Main info

Female
Name
DR. LISA ANN GUSTAVSON (PH.D.)
NPI
1639140312
Phone
(801) 284-4990
Address
1141 E 3900 S
Enumeration Date
30 January 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. LISA ANN GUSTAVSON (PH.D.)

  • 1141, 3900 South, Millcreek, Salt Lake County, Utah, 84124, United States

    SUITE A170

    SALT LAKE CITY, UT 841241215

    Phone: (801) 284-4990

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84124)

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Frequently asked questions

What is the registry number for DR. LISA ANN GUSTAVSON (PH.D.)?
The registry entry for DR. LISA ANN GUSTAVSON (PH.D.) shows NPI 1639140312.
Is DR. LISA ANN GUSTAVSON (PH.D.)'s NPI status active today?
Active status means DR. LISA ANN GUSTAVSON (PH.D.)'s NPI record is not deactivated in the public file.
What does the directory say DR. LISA ANN GUSTAVSON (PH.D.) does?
Insurance directories may phrase it differently, but here DR. LISA ANN GUSTAVSON (PH.D.) maps to Counseling Psychologist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. LISA ANN GUSTAVSON (PH.D.)?
DR. LISA ANN GUSTAVSON (PH.D.) is associated with Salt Lake City, Utah in the same public data insurers reference.
Who maintains DR. LISA ANN GUSTAVSON (PH.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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