Provider Demographics
NPI:1083412852
Name:GUTIERREZ, AALEYAH (MS, PPS)
Entity type:Individual
Prefix:
First Name:AALEYAH
Middle Name:
Last Name:GUTIERREZ
Suffix:
Gender:
Credentials:MS, PPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1510 S NUTWOOD ST
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92804-6023
Mailing Address - Country:US
Mailing Address - Phone:714-517-8935
Mailing Address - Fax:
Practice Address - Street 1:1510 S NUTWOOD ST
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-6023
Practice Address - Country:US
Practice Address - Phone:714-517-8935
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool