Healthcare Provider Details

I. General information

NPI: 1780717256
Provider Name (Legal Business Name): LAURA GUTMAN PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

191 POST RD W
WESTPORT CT
06880-4625
US

IV. Provider business mailing address

5 HYATT LN
WESTPORT CT
06880-3012
US

V. Phone/Fax

Practice location:
  • Phone: 203-227-0267
  • Fax:
Mailing address:
  • Phone: 203-227-0267
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number002527
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number002527
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code103TA0700X
TaxonomyAdult Development & Aging Psychologist
License Number002527
License Number StateCT
# 4
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number002527
License Number StateCT
# 5
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number002527
License Number StateCT
# 6
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number002527
License Number StateCT
# 7
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number002527
License Number StateCT
# 8
Primary TaxonomyY
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number002527
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: