Individual
BEVERLY CHARLEENE LOPEZ CANCEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
PR 1 SAKURA AVE, CAGUAS, PR 00725
(787) 705-5565
Mailing address
PO BOX 477, GURABO, PR 00778-0477
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
008178
PR
Other
Enumeration date
03/28/2024
Last updated
02/13/2026
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