Individual
DR. BONNIE GUTWIRTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
13 CUMBERLAND ROAD, JERICHO, NY 11753
(516) 938-5721
Mailing address
13 CUMBERLAND ROAD, JERICHO, NY 11753
(516) 938-5721
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
013214
NY
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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