Individual
MRS. DORA G GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA, AA
Contact information
Practice address
1100 W. CLARK RD BOX 829, CONNELL, WA 99326-0829
(509) 234-9218
(509) 234-9204
Mailing address
1100 W. CLARK RD, PO BOX 829, CONNELL, WA 99326-0829
(509) 234-9218
(509) 234-9204
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SP 6021648
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLPA SP60219648
SPEECH LANGUAGE PATHOLOGY ASSISTANT CERTIFACATION
WA
Enumeration date
01/09/2013
Last updated
01/09/2013
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