| Doctor Name: | FANNY ELIZABETH GUTIERREZ-MEYERS |
| NPI Number: | 1053530956 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMSW |
| License Number: | 13157 |
| Business Practice Address: | 1547 S Wayne Rd Westland, MI - 481865436 |
| Business Phone Number: | 7347293133 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1089, GARDEN CITY |
| State: | MI |
| Postal Code: | 481361089 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 04/25/2007 |
| NPI Last Update Date: | 12/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 13157 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |