Individual
DR. SUSANNA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1320 CRADDUCK RD, ADA, OK 74820-8442
(580) 559-6535
Mailing address
1320 CRADDUCK RD, ADA, OK 74820-8442
(580) 559-6535
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1508
OK
Other
Enumeration date
02/25/2026
Last updated
02/25/2026
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