Individual
DR. BIBIANA GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
500 W AVENUE H, SUITE 102E, ALPINE, TX 79830-6001
(432) 386-3223
(432) 837-8104
Mailing address
409 PINON DR, ALPINE, TX 79830-7507
(432) 386-3223
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
30732
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30732
STATE MEDICAL LICENSE
TX
Enumeration date
09/25/2007
Last updated
02/08/2017
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