Individual
MRS. SALLY LORAINE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
# 410 CALLE MENDEZ VIGO, SUITE 203, DORADO, PR 00646-4619
(787) 383-0338
(787) 278-0388
Mailing address
#218 METHIS ST., PASEO DEL SOL, DORADO, PR 00646-4619
(787) 383-0338
(787) 278-0388
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
001794
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
219067
PREFERRED HEALTH
PR
01
—
2936
APS HEALTHCARE
PR
01
—
543166
MEDICAL CARD SYSTEMS
PR
01
—
A187
FIRST MEDICAL
PR
Enumeration date
01/11/2007
Last updated
07/09/2007
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