Provider Demographics
NPI:1487921128
Name:GUTIERREZ, LINDSEY (MA, MFTI)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:GUTIERREZ
Suffix:
Gender:M
Credentials:MA, MFTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10221 COMPTON AVE
Mailing Address - Street 2:104
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90002-2802
Mailing Address - Country:US
Mailing Address - Phone:213-385-5100
Mailing Address - Fax:310-669-9482
Practice Address - Street 1:10221 COMPTON AVE
Practice Address - Street 2:104
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90002-2802
Practice Address - Country:US
Practice Address - Phone:213-385-5100
Practice Address - Fax:310-669-9482
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-23
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist