| Mrs Kimberly Richardson Gutierrez, MA, CCC/SLP | |
|
73 N Main St, Suite 3, Victor, ID 83455 | |
| (208) 201-5621 | |
| Not Available |
| Full Name | Mrs Kimberly Richardson Gutierrez |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 73 N Main St, Victor, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295046670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SLP-1143 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kimberly Richardson Gutierrez, MA, CCC/SLP 1371 E 4000 N, Driggs, ID 83422-5149 Ph: (208) 201-5621 | Mrs Kimberly Richardson Gutierrez, MA, CCC/SLP 73 N Main St, Suite 3, Victor, ID 83455 Ph: (208) 201-5621 |
Mrs. Carlen Williams Hervig, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 73 North Main Street, Victor, ID 83455 Phone: 208-705-7868 | |
Childs Play, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 73 North Main, Victor, ID 83455 Phone: 208-787-6900 |