Individual
MS. NICOLE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.ED.
Contact information
Practice address
406 10TH AVE, 9TH FLOOR, NEW YORK, NY 10001-2320
(212) 273-6537
Mailing address
41-44 44TH ST APT# F-12, SUNNYSIDE, NY 11104-2259
(646) 515-1113
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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