Individual
MARY LOU GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
109 W 27TH ST RM 5S, NEW YORK, NY 10001-6208
(917) 634-5311
(888) 815-3583
Mailing address
109 W 27TH ST RM 5S, NEW YORK, NY 10001-6208
(917) 634-5311
(888) 815-3583
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036107891
IL
2084P0800X
Psychiatry Physician
DR.0072520
CO
2084P0800X
Psychiatry Physician
MD.MD.70038835
WA
2084P0804X
Child & Adolescent Psychiatry Physician
036107891
IL
2084P0804X
Child & Adolescent Psychiatry Physician
DR.0072520
CO
2084P0804X
Child & Adolescent Psychiatry Physician
MD.MD.70038835
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036107891
—
IL
Enumeration date
05/18/2007
Last updated
10/22/2025
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