Provider Demographics
NPI:1871599662
Name:GUTMANN, ARLYNE JEANE (PHD, LP,BCBA)
Entity type:Individual
Prefix:DR
First Name:ARLYNE
Middle Name:JEANE
Last Name:GUTMANN
Suffix:
Gender:F
Credentials:PHD, LP,BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7250 FRANCE AVE S
Mailing Address - Street 2:STE 114
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-4311
Mailing Address - Country:US
Mailing Address - Phone:952-897-1947
Mailing Address - Fax:952-926-5641
Practice Address - Street 1:7250 FRANCE AVE S
Practice Address - Street 2:STE 114
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-4311
Practice Address - Country:US
Practice Address - Phone:952-897-1947
Practice Address - Fax:952-926-5641
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-26
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP0511103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral