| Charles Elias Gutierrez Phd Llc | |
|
8401 Datapoint Dr Ste 301 San Antonio TX 78229-5904 | |
| (210) 354-1186 | |
| Not Available |
| Full Name | Charles Elias Gutierrez Phd Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 8401 Datapoint Dr Ste 301, San Antonio, Texas |
| Authorized Official Name and Position | Charles E Gutierrez (PHD) |
| Authorized Official Contact | 2103541186 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Elias Gutierrez Phd Llc 8401 Datapoint Dr Ste 301 San Antonio TX 78229-5904 Ph: (210) 354-1186 | Charles Elias Gutierrez Phd Llc 8401 Datapoint Dr Ste 301 San Antonio TX 78229-5904 Ph: (210) 354-1186 |
| NPI Number | 1093577850 |
|---|---|
| Provider Enumeration Date | 01/26/2024 |
| Last Update Date | 01/26/2024 |
| Certification Date | 01/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093577850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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