MR. Gautam Roman Gupta, LCSW
NPI #1033414263 in North Hills, California
Provider Information
- NPI Number
- 1033414263
- Entity Type
- Individual
- Name
- MR. Gautam Roman Gupta, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Jan 19, 2011
- Last Updated
- Jun 22, 2016
Practice Location
- Address
- 15305 RAYEN ST
- City
- North Hills
- State
- California
- ZIP Code
- 91343-5117
- Phone
- (818) 277-2600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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