Individual
DR. JEANNIE M. GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1604 CHICAGO AVE, #5, EVANSTON, IL 60201
(847) 687-9055
Mailing address
1604 CHICAGO AVE, #5, EVANSTON, ID 60201
(847) 687-9055
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
IL
103T00000X
Psychologist
—
IL
103TC0700X
Clinical Psychologist
—
IL
103TC2200X
Clinical Child & Adolescent Psychologist
—
IL
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
IL
Other
Enumeration date
09/19/2006
Last updated
09/11/2025
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