Individual
FRANCISCO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
85 LAFAYETTE STREET, NEW BRITAIN, CT 06051
(890) 224-3642
(860) 224-2760
Mailing address
575 MAIN ST FL 2, ATTN: CREDENTIALING DEPT, MIDDLETOWN, CT 06457-2845
(860) 347-6971
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
00-XXXX
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004236338
—
CT
Enumeration date
06/25/2013
Last updated
06/25/2013
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