Individual
DR. IVELISSE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD.
Contact information
Practice address
VILLA BLANCA 31 CALLE RUBI, CAGUAS, PR 00725-1933
(787) 672-8096
Mailing address
VILLA BLANCA 31 CALLE RUBI, CAGUAS, PR 00725-1933
(787) 672-8096
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6168
PR
Other
Enumeration date
11/07/2012
Last updated
03/12/2025
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