Individual
DR. LOUISE RAPHAELA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1760 NE 13TH ST, FORT LAUDERDALE, FL 33304-1846
(561) 351-6232
Mailing address
1760 NE 13TH ST, FORT LAUDERDALE, FL 33304-1846
(561) 351-6232
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7869
FL
Other
Enumeration date
02/04/2009
Last updated
03/10/2011
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