Provider Demographics
NPI:1538376033
Name:GUTIERREZ, LALEI ELIZABETH (PHD, LMFT)
Entity type:Individual
Prefix:DR
First Name:LALEI
Middle Name:ELIZABETH
Last Name:GUTIERREZ
Suffix:
Gender:F
Credentials:PHD, LMFT
Other - Prefix:DR
Other - First Name:LALEI
Other - Middle Name:E
Other - Last Name:GUTIERREZ-BELZUNCE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD, LMFT
Mailing Address - Street 1:22380 BERRY DR
Mailing Address - Street 2:279
Mailing Address - City:ROCKY RIVER
Mailing Address - State:OH
Mailing Address - Zip Code:44116-2016
Mailing Address - Country:US
Mailing Address - Phone:440-333-4105
Mailing Address - Fax:440-398-2623
Practice Address - Street 1:22380 BERRY DR
Practice Address - Street 2:279
Practice Address - City:ROCKY RIVER
Practice Address - State:OH
Practice Address - Zip Code:44116-2016
Practice Address - Country:US
Practice Address - Phone:440-333-4105
Practice Address - Fax:440-398-2623
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3238103T00000X
OHF - 0000138106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist