Individual
DR. LISA GUTIERREZ WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1400 EMELINE AVENUE, BUILDING K, SANTA CRUZ, CA 95060
(831) 454-4948
(831) 454-4916
Mailing address
1400 EMELINE AVENUE, BUILDING K, SANTA CRUZ, CA 95060
(831) 454-4948
(831) 454-4916
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
23588
CA
Other
Enumeration date
12/30/2011
Last updated
07/19/2019
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