Individual
LIZAIDA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1994 AVE EMILIANO POL, LA ALAMEDA, SAN JUAN, PR 00926-5502
(787) 510-6084
Mailing address
1979 CALLE SAUCO, SAN RAMN, GUAYNABO, PR 00969-3938
(787) 510-6084
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1909
PR
Other
Enumeration date
08/08/2006
Last updated
07/21/2022
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