Individual
MYRELSA JANINA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CF-SLP
Contact information
Practice address
3253 TAYLOR RD STE 200, CHESAPEAKE, VA 23321-2452
(757) 881-1137
(757) 881-1138
Mailing address
1377 MOTOR PKWY STE 307, ISLANDIA, NY 11749-5258
(631) 580-5200
(631) 580-5222
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204000345
VA
Other
Enumeration date
10/28/2019
Last updated
02/10/2020
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