Individual
SILVIA GUADALUPE GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3250 WILSHIRE BLVD, 5TH FLOOR, LOS ANGELES, CA 90010-1577
(323) 361-8322
Mailing address
3561 CLARINGTON AVE APT 105, LOS ANGELES, CA 90034-4968
(310) 287-1408
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PSY18553
CA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
02/23/2007
Last updated
07/05/2016
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