Doctor Name: | MISS MARGARITA C GUTIERREZ |
NPI Number: | 1750372926 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., C.C.C., S.L.P. |
License Number: | SA 4288 |
Business Practice Address: | 2555 N Dixie Hwy Lake Worth, FL - 334606250 |
Business Phone Number: | 5615854881 |
Business Fax Number: | 5615857452 |
Mailing Address: | 7106 Hawks Nest Ter, RIVIERA BEACH |
State: | FL |
Postal Code: | 334071126 |
Phone Number: | 5618458898 |
Fax Number: | 5618458898 |
NPI Enumeration Date: | 11/04/2005 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA 4288 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |