| Doctor Name: | DR. LETICIA GUTIERREZ-LOPEZ |
| NPI Number: | 1194864256 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | PSY17604 |
| Business Practice Address: | 11731 Telegraph Rd Building G Santa Fe Springs, CA - 906703675 |
| Business Phone Number: | 6262553955 |
| Business Fax Number: | 5629429789 |
| Mailing Address: | 11731 Telegraph Rd, Building G SANTA FE SPRINGS |
| State: | CA |
| Postal Code: | 906703675 |
| Phone Number: | 6262553955 |
| Fax Number: | 5629429789 |
| NPI Enumeration Date: | 02/05/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY17604 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |