Individual
HASSEL YESENIA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 S FEDERAL HWY, FT LAUDERDALE, FL 33316-2619
(954) 728-1083
Mailing address
1401 S FEDERAL HWY, FT LAUDERDALE, FL 33316-2619
(954) 728-1083
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
8792
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101518700
—
FL
Enumeration date
09/13/2018
Last updated
08/14/2023
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