Provider Information for 1043466675
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Dr. NATALIE KAY GUTIERREZ Psy.D.
Sex: Female
NPI: 1043466675
Last Updated: 2021-06-28
Certification Date: 2021-06-28
Certification Date: 2021-06-28
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1043466675 | ||||||||
| Enumeration Date | 2008-08-14 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 6065 MAGGIE LN CUMMING, GA 30028-3160 United States Phone: 706-302-3395 | Fax: | ||||||||
| Primary Practice Address | 6065 MAGGIE LN CUMMING, GA 30028-3160 United States Phone: 706-302-3395 | Fax: | ||||||||
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