Individual
DR. MAGDA MARQUES LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
710 OAKFIELD DR STE 223, BRANDON, FL 33511-4954
(813) 419-3137
(877) 599-4198
Mailing address
2919 W SWANN AVE STE 201, TAMPA, FL 33609-4050
(305) 495-8347
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY8397
FL
103TC2200X
Clinical Child & Adolescent Psychologist
PY8397
FL
Other
Enumeration date
10/14/2011
Last updated
12/10/2021
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