Individual
DR. RICHARD JOSEPH LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
430 SILLS RD., YAPHANK, NY 11980-9640
(631) 924-5583
(631) 924-5687
Mailing address
342 WHITEHALL ST, LYNBROOK, NY 11563-1049
(516) 330-2352
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
019821
NY
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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