Individual
JAMIE MARIE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
3950 N A W GRIMES BLVD STE N301A, ROUND ROCK, TX 78665-3540
(512) 524-9274
Mailing address
205 E UNIVERSITY AVE STE 200, GEORGETOWN, TX 78626-6821
(512) 686-0152
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
38048
TX
Other
Enumeration date
04/21/2020
Last updated
03/09/2021
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