Individual
DEIDRA ANN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PRS
Contact information
Practice address
526 CANTON RD STE 201, AKRON, OH 44312-2527
(330) 625-4711
Mailing address
526 CANTON RD STE 201, AKRON, OH 44312-2527
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
003229
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APS.003229
OHIO MENTAL HEALTH AND ADDICTION SERVICES (OMHAS)
OH
Enumeration date
05/11/2022
Last updated
05/11/2022
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