Organization
MARTITA A. LOPEZ, PH.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTITA A LOPEZ PHD (CLINICAL PSYCHOLOGIST)
(512) 497-8018
Entity
Organization
Contact information
Practice address
711 W 38TH ST BLDG F-2, AUSTIN, TX 78705-1121
(512) 497-8018
(512) 471-6572
Mailing address
5904 SPARTAN CV, AUSTIN, TX 78759-6254
(512) 497-8018
(512) 471-6572
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
32017
TX
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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