Individual
CHRISTINA MICHELLE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
4 RAILROAD AVENUE, SOMERSET, NJ 08873
(732) 873-7600
Mailing address
189 FOREST STREET, MONTCLAIR, NJ 07042
(201) 788-8299
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
NJ41YS00685900
NJ
Other
Enumeration date
08/27/2012
Last updated
08/27/2012
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