Provider Demographics
NPI:1144647884
Name:GUTIERREZ, GABRIELA (SLPASST)
Entity type:Individual
Prefix:
First Name:GABRIELA
Middle Name:
Last Name:GUTIERREZ
Suffix:
Gender:F
Credentials:SLPASST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1923 MOSA CREEK CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77017-6060
Mailing Address - Country:US
Mailing Address - Phone:713-894-7696
Mailing Address - Fax:
Practice Address - Street 1:1250 W SAM HOUSTON PKWY S STE 180
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-1955
Practice Address - Country:US
Practice Address - Phone:713-783-8181
Practice Address - Fax:713-391-8430
Is Sole Proprietor?:No
Enumeration Date:2014-03-19
Last Update Date:2014-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX330322355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant