Individual
LILLIANA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1340 CELEBRATION BLVD, FLORENCE, SC 29501-5585
(787) 349-8395
Mailing address
1435 GOLF TERRACE BLVD APT 2, FLORENCE, SC 29501-0233
(843) 536-1180
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7562
PR
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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