Individual
DR. IRENE GUTIERREZ ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2101 S BLACKHAWK ST., STE 240, RM 4, AURORA, CO 80014-1475
(720) 316-5840
(720) 362-2435
Mailing address
5700 S SICILY ST, AURORA, CO 80015-4599
(303) 883-1082
(720) 362-2435
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3619
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61452769
—
CO
Enumeration date
06/18/2008
Last updated
03/21/2020
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