Individual
DR. JEANNIE M LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
700 YGNACIO VALLEY RD STE 320, WALNUT CREEK, CA 94596-3838
(925) 939-7500
Mailing address
700 YGNACIO VALLEY RD STE 320, WALNUT CREEK, CA 94596-3838
(925) 939-7500
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
18357
CA
103TC0700X
Clinical Psychologist
18357
CA
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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