Gutierrez, Teresa J.

Gutierrez, Teresa J. is an individual health care provider with primary practice located at 6009 Landerhaven Dr Ste F, Mayfield Hts OH 44124-4192. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gutierrez, Teresa J. can be contacted via phone (440) 646-0671.

Contact Information

Primary practice address
6009 Landerhaven Dr Ste F Mayfield Hts OH 44124-4192
Phone: (440) 646-0671
Fax: (440) 461-5033
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X I4202 Ohio

Profile Details

NPI number 1508869504
LBN Legal business name Gutierrez, Teresa J.
Credentials LISW
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Oct 17th, 2007 - about 17 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 1508869504 NPPES
Ohio Other 0005295036 AETNA PIN
Ohio Other 000000168998 AETNA PIN
Ohio Other 341891557-001 AETNA PIN
Ohio Other V34189155767813 AETNA PIN

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