MEDICARE: MR. PETER W. GUTTERMAN MFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	MFC41382	CA

General Provider Information

NPI Number	:	1083743785
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PETER W. GUTTERMAN MFT

Provider Business Mailing Address
First Line	:	2435 COLUSA ST
Second Line	:
City	:	PINOLE
State	:	CA
Zip	:	94564-1501
Country	:	US
Telephone Number	:	510-851-2789
Fax Number	:

Provider Business Practice Location Address
First Line	:	4283 PIEDMONT AVE
Second Line	:	#E6
City	:	OAKLAND
State	:	CA
Zip	:	94611-4758
Country	:	US
Telephone Number	:	510-496-3460
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2007
Last Update Date	:	11/24/2016

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