Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Lisa Ann Gustavson, PHD

Individual provider Counseling Psychologist · NPI 1639140312

Dr. Lisa Ann Gustavson, PHD is a Counseling Psychologist in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2006.

Licensed in
UT
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

1141 E 3900 S Ste A170
Salt Lake City, UT 84124-1215
Phone: (801) 284-4990
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X · Licence 117014-2501 (UT)

Record details

NPI number1639140312
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedJanuary 30, 2006
Last updated in NPPESJuly 13, 2026

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