Doctor Name: | DR. RENEE GUTMAN |
NPI Number: | 1134578677 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 011178-1 |
Business Practice Address: | 5715 N Calle De Lucimiento Tucson, AZ - 857185134 |
Business Phone Number: | 5202991224 |
Business Fax Number: | 5202992208 |
Mailing Address: | 5715 N Calle De Lucimiento, TUCSON |
State: | AZ |
Postal Code: | 857185134 |
Phone Number: | 5202991224 |
Fax Number: | 5202992208 |
NPI Enumeration Date: | 06/06/2016 |
NPI Last Update Date: | 06/06/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | 011178-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |