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Lisa Gustavson, PH.D

NPI 1639140312 · on the registry since 2006

Practice

Address
1141 E 3900 S
Suite A170
Salt Lake City, UT 84124
Phone
(801) 284-4990
Organisation at this address
Nomi Health Inc.
Bourget Health Services, Inc
Innovative Testing Services, Llc
Valley Mental Health Incorporated
Valley Mental Health Incorporated
Inferred from a shared address, not stated in the registry.
Clinicians at this address
43

Registry record

Primary taxonomy
Counseling Psychologist
103TC1900X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-07-13
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah