Individual
DAILIANA LOPEZ HECHAVARRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH
Contact information
Practice address
3803 N 5TH ST, PHILADELPHIA, PA 19140-3337
(215) 539-2473
(215) 240-6328
Mailing address
3803 N 5TH ST, PHILADELPHIA, PA 19140-3337
(215) 539-2473
(215) 240-6328
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32263260
—
PA
Enumeration date
08/23/2021
Last updated
08/23/2021
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