Individual
MRS. BARBARA GUTOWICZ FORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
640 HOLBROOK CT, UNIT 103, LONG BEACH, CA 90803-7103
(562) 305-8971
Mailing address
640 HOLBROOK CT, UNIT 103, LONG BEACH, CA 90803-7103
(562) 305-8971
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4316
CA
Other
Enumeration date
10/03/2007
Last updated
10/03/2007
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