Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 8213 | MA |
Y | 103TC0700X | Clinical Psychologist | 8213 | MA |
N | 102L00000X | Psychologist | 8213 | MA |
N | 103T00000X | Psychologist | 8213 | MA |
N | 103TA0700X | Adult Development & Aging Psychologist | 8213 | MA |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 8213 | MA |
N | 103G00000X | Clinical Psychologist | 8213 | MA |
N | 103TC0700X | Clinical Psychologist | 8213 | MA |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 8213 | MA |
N | 103TF0200X | Forensic Psychologist | 8213 | MA |
N | 103TP2701X | Group Psychotherapist | 8213 | MA |
N | 103TS0200X | School Psychologist | 8213 | MA |
NPI | 1154593598 |
---|---|
Provider Name | Dr. Adriana Lucia Gutierrez |
First Address | Lowell, MA 01852-1729 |
Second Address | Lowell, MA 01852-1729 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2008 |
Last Update Date | 26/03/2008 |