Provider Demographics
NPI:1801190889
Name:GUTIERREZ, MARIA CELESTE (MS, CCC-SLP)
Entity Type:Individual
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First Name:MARIA
Middle Name:CELESTE
Last Name:GUTIERREZ
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Gender:F
Credentials:MS, CCC-SLP
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Other - First Name:
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Mailing Address - Street 1:15200 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 130
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3845
Mailing Address - Country:US
Mailing Address - Phone:281-494-0606
Mailing Address - Fax:281-494-0655
Practice Address - Street 1:15200 SOUTHWEST FWY
Practice Address - Street 2:SUITE 130
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3845
Practice Address - Country:US
Practice Address - Phone:281-494-0606
Practice Address - Fax:281-494-0655
Is Sole Proprietor?:No
Enumeration Date:2011-01-05
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX105345235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist