Organization
ONE-TO-ONE PSYCHOLOGICAL SERVICES
Active
Other names
INSIGHT
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WANDAMARIA LOPEZ PHD (PSYCHOLOGIST)
(229) 245-0330
Entity
Organization
Contact information
Practice address
1223 E MCPHERSON AVE, NASHVILLE, GA 31639-2351
(229) 245-0330
(866) 738-7755
Mailing address
PO BOX 2828, VALDOSTA, GA 31604-2828
(229) 245-0330
(866) 738-7755
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY001532
GA
Other
Enumeration date
03/13/2007
Last updated
03/23/2008
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