Individual
DANIELLA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 WILDWOOD AVE, WILDWOOD, FL 34785-4221
(786) 715-7030
(786) 715-7030
Mailing address
109 WILDWOOD AVE, WILDWOOD, FL 34785-4221
(786) 715-7030
(786) 715-7030
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA21659
FL
Other
Enumeration date
05/19/2026
Last updated
05/19/2026
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