MRS. Kimberly Richardson Gutierrez, M.A., CCC/SLP

NPI #1295046670 in Victor, Idaho

Provider Information

NPI Number
1295046670
Entity Type
Individual
Name
MRS. Kimberly Richardson Gutierrez, M.A., CCC/SLP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Credential
M.A., CCC/SLP
Enumeration Date
Jun 30, 2010
Last Updated
Jun 30, 2010

Practice Location

Address
73 N MAIN ST
Address 2
SUITE 3
City
Victor
State
Idaho
ZIP Code
83455
Phone
(208) 201-5621

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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