Organization
LOPEZ WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORMA LOPEZ PSY.D. (PSYCHOLOGIST)
(512) 496-7884
Entity
Organization
Contact information
Practice address
3407 W SLAUGHTER LN, AUSTIN, TX 78748-5714
(512) 496-7884
Mailing address
PO BOX 91223, AUSTIN, TX 78709-1223
(512) 496-7884
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
3-1752
TX
Other
Enumeration date
07/12/2011
Last updated
05/17/2019
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