Renee Gutierrez

Individual provider Counselor · NPI 1619341849

Renee Gutierrez is a Clinical Psychologist in Patton, California. Qualified in 2021, 5 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying: 5
Licensed in: CA
In the registry since: 2015
Specialties on file: 3

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Practice location Address checks out

3102 E Highland Ave
Patton, CA 92369-7813
Phone: (909) 425-7000

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary)	Taxonomy 103TC0700X · Licence 33768 (CA)
Counselor	Taxonomy 101Y00000X
Student in an Organized Health Care Education/Training Program	Taxonomy 390200000X

Record details

NPI number	1619341849
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	No
NPI enumerated	November 27, 2015
Last updated in NPPES	August 23, 2023
Certification date	August 22, 2023
Mailing address	3102 E Highland Ave, Patton, CA 92369-7813

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	CLINICAL PSYCHOLOGIST
Medical school	OTHER
Graduated	2021 (5 years in practice)
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount