# DR. MARY BETH LOPEZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1871795559
- **Gender:** F
- **Credential:** PSY.D

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | — | NULL | Yes |
| 103TA0700X | Adult Development & Aging Psychologist | — | NULL | — |
| 103TB0200X | Cognitive & Behavioral Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | PY 7941 | FL | — |
| 103TC1900X | Counseling Psychologist | — | NULL | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | — |

## Other

- **Enumeration date:** 06/04/2007
- **Last updated:** 01/22/2014