Gutierrez, Dora G

Gutierrez, Dora G is an individual health care provider with primary practice located at 1100 W. Clark Rd Box 829 , Connell WA 99326-0829. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Assistant, which is considered as her primary health care specialty. Gutierrez, Dora G can be contacted via phone (509) 234-9218.

Contact Information

Primary practice address
1100 W. Clark Rd Box 829 Connell WA 99326-0829
Phone: (509) 234-9218
Fax: (509) 234-9204
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X SP 6021648 Washington

Profile Details

NPI number 1245577360
LBN Legal business name Gutierrez, Dora G
Credentials SLPA, AA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2013
Last updated Jan 9th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245577360 NPPES
Washington Other SLPA SP60219648 SPEECH LANGUAGE PATHOLOGY ASSISTANT CERTIFACATION

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