Dr. Kelly Ann Gutierrez, PhD
Psychologist, Clinical Child & Adolescent in Lakewood, WA. Individual provider (NPI-1).
NPI number1982190310
StatusActive
Last updated in NPPESSep 1, 2023
Details
- NPI
- 1982190310
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kelly Ann Gutierrez
- Credential
- PhD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 9, 2018
- Certification date
- Sep 1, 2023
- Last updated
- Sep 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC2200X | Psychologist, Clinical Child & Adolescent | PY61107819 | WA | Yes |
Other names
- Kelly Ann Regan (Former Name)
Practice location
8801 Steilacoom Blvd SwLakewood, WA 98498-4770
Phone 253-756-2752
Mailing address
8805 Steilacoom Blvd SwLakewood, WA 98498-4770
Phone 253-756-2752
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