| Doctor Name: | MRS. DEISI DANIELA URRUTIA |
| NPI Number: | 1326223322 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 81022 |
| Business Practice Address: | 144 South 'l' Street Dinuba, CA - 936183205 |
| Business Phone Number: | 5595916680 |
| Business Fax Number: | 5595916684 |
| Mailing Address: | 144 S. 'l' Street, DINUBA |
| State: | CA |
| Postal Code: | 936183205 |
| Phone Number: | 5595916680 |
| Fax Number: | 5595916684 |
| NPI Enumeration Date: | 01/08/2008 |
| NPI Last Update Date: | 08/19/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 81022 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |