Individual
CHADLI GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY,D
Contact information
Practice address
16 CALLE JOSE C. BARBOSA, SUITE #3, LAS PIEDRAS, PR 00771
(904) 257-3065
Mailing address
PO BOX 502, TRUJILLO ALTO, PR 00977-0502
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
8738
PR
106E00000X
Assistant Behavior Analyst
RBT-25-475553
FL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/08/2024
Last updated
04/23/2026
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