Bibiana Gutierrez, PH.D
Individual provider Active NPI Clinical Psychologist · Alpine, TX
NPI 1275720161 · NPPES record last updated Feb 8, 2017
Key facts
- NPI
- 1275720161
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 30732 (TX)
- Practice address
- 500 W Avenue H
Suite 102E
Alpine, TX 79830-6001 - Phone
- (432) 386-3223
- Fax
- (432) 837-8104
- NPI assigned
- Sep 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30732 | TX | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 30732 | TX | Yes |
Addresses
Primary practice location
500 W Avenue H
Suite 102E
Alpine, TX 79830-6001
Mailing address
409 Pinon Dr
Alpine, TX 79830-7507
Phone (432) 386-3223
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30732 | Other | TX | STATE MEDICAL LICENSE |
Other providers in Alpine, TX
- Robert A. Fast
- William Jay Fielder
- Vicki Ranae Friddell
- Glenn Short'S Applied Alternatives, LLC
- Katherine Powers Gonzalez
- Shanna Hickle
- Highland Drug Inc
- Ruth Melody Hornady
- Gena Marie Howle
- Jill Jahn
All providers in Alpine, TX · Clinical Psychologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.