Organization
MAYLO COMPREHENSIVE PSYCHOLOGICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY BETH LOPEZ PSY.D (PSYCHOLOGIST)
(305) 333-2394
Entity
Organization
Contact information
Practice address
6331 SW 41ST CT, DAVIE, FL 33314-3405
(305) 333-2394
Mailing address
3092 NW 127TH TER, SUNRISE, FL 33323-6343
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/22/2014
Last updated
02/26/2014
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