Organization
JAMIE L. HASELEY LOPEZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE LEIGH HASELEY LOPEZ PHD (PSYCHOLOGIST)
(415) 572-6450
Entity
Organization
Contact information
Practice address
30 GARFIELD ST STE A, ASHEVILLE, NC 28803-7301
(828) 761-1017
Mailing address
116 HARROP DUN CT, BILTMORE LAKE, NC 28715-7901
(415) 572-6450
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4338
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6001390
—
NC
Enumeration date
03/29/2016
Last updated
03/29/2016
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