Dr. Lisa Gutierrez Wang
Psychologist
1400 Emeline Avenue Building K
Santa Cruz
, California 95060
Dr. Lisa Gutierrez Wang
Psychologist
1400 Emeline Avenue Building K
Santa Cruz
, California 95060
(831) 454-4916
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About
Features
Specialties
- Psychologist
Languages spoken
- English
Location
First Address
- Dr. Lisa Gutierrez Wang
- 1400 Emeline Avenue Building K
- Santa Cruz, CA
- Zip : 95060
- Fax : (831) 454-4916
- Phone : (831) 454-4948
Second Address
- Dr. Lisa Gutierrez Wang
- 1400 Emeline Avenue Building K
- Santa Cruz, CA
- Zip : 95060
- Fax : (831) 454-4916
- Phone : (831) 454-4948
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | 23588 | CA |
| Y | 103T00000X | Psychologist | 23588 | CA |
National Provider Identifier
| NPI | 1013287572 |
|---|---|
| Provider Name | Dr. Lisa Gutierrez Wang |
| First Address | Santa Cruz, CA 95060 |
| Second Address | Santa Cruz, CA 95060 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/12/2011 |
| Last Update Date | 19/07/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.