Organization
CHARLES ELIAS GUTIERREZ PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES E GUTIERREZ PHD (PHD)
(210) 354-1186
Entity
Organization
Contact information
Practice address
8401 DATAPOINT DR STE 301, SAN ANTONIO, TX 78229-5904
(210) 354-1186
Mailing address
8401 DATAPOINT DR STE 301, SAN ANTONIO, TX 78229-5904
(210) 354-1186
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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