Gutierrez Wang, Lisa

Gutierrez Wang, Lisa is an sole proprietor health care provider with primary practice located at 1400 Emeline Avenue Building K, Santa Cruz CA 95060. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Gutierrez Wang, Lisa can be contacted via phone (831) 454-4948.

Contact Information

Primary practice address
1400 Emeline Avenue Building K Santa Cruz CA 95060
Phone: (831) 454-4948
Fax: (831) 454-4916
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 23588 California

Profile Details

NPI number 1013287572
LBN Legal business name Gutierrez Wang, Lisa
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 30th, 2011
Last updated Jul 19th, 2019 - about 7 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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