Individual
ISAAC LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
2817 REILLY ST, WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310-7324
(910) 907-8922
(910) 907-6069
Mailing address
2817 REILLY ST, WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310-7324
(910) 907-8922
(910) 907-6069
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS01215
RI
Other
Enumeration date
01/27/2011
Last updated
01/27/2011
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