Individual
CAROLYN M ARTIME GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
11220 CRAZY WELL DR, AUSTIN, TX 78717-4494
(408) 510-2635
Mailing address
11220 CRAZY WELL DR, AUSTIN, TX 78717-4494
(408) 510-2635
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
106944
TX
Other
Enumeration date
04/17/2013
Last updated
02/09/2023
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