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General NPI Number Information
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NPI Number | 1467674176
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Entity Type | Individual
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Provider Name | VERONICA GUTIERREZ PHD, LP
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Gender | Female
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 3609 OCEAN RANCH BLVD STE 208&209
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City | OCEANSIDE
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State | CA
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Zip | 92056-2698
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Country | US
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Telephone | 858-898-0549
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Fax |
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Provider Business Mailing Address
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Address Line | 3609 OCEAN RANCH BLVD STE 208&209
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City | OCEANSIDE
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State | CA
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Zip | 92056-2698
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 21413
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 21413
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 21413
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License Number State | CA
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