Individual
CAITLIN LEANNE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
1825 E THELBORN ST, WEST COVINA, CA 91791-1442
(626) 915-3844
(626) 915-3845
Mailing address
7246 REMMET AVE, CANOGA PARK, CA 91303-1531
(818) 206-0360
(818) 206-0370
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
40399
CA
Other
Enumeration date
07/18/2017
Last updated
09/09/2019
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