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John Gutierrez
Health Service Psychologist in Riverside, California
NPI 1639566953

John Gutierrez is a Health Service Psychologist based in Riverside, CA and is specialized in Health Service. John Gutierrez practices in Riverside, CA. The NPI Number for John Gutierrez is 1639566953 and holds a License No. 833543 (California).

The current practice location address for John Gutierrez is 3281 Ledgewood Circle, Riverside, CA and can be reached out via phone at 909-702-5413. You can also correspond with John Gutierrez through the mailing address at 3281 LEDGEWOOD CIRCLE, RIVERSIDE, CA - 92503 (mailing address contact number: 909-702-5413).

Location: 3281 Ledgewood Circle, Riverside, CA, 92503
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639566953
Provider Name
John Gutierrez
Credential
Provider Entity Type
Individual
Gender
Male
Address
3281 Ledgewood Circle, Riverside, CA, 92503
Phone Number
909-702-5413
Fax Number
Provider Enumeration Date
04/24/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3281 Ledgewood Circle
City
Riverside
State
California
Zip
92503
Phone Number
909-702-5413
Fax Number
person
Provider Business Mailing Address Details
Address
3281 Ledgewood Circle
City
Riverside
State
California
Zip
92503
Phone Number
909-702-5413
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
833543 (California)
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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