Individual
DANA CARSON LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
11440 W BERNARDO CT STE 256, SAN DIEGO, CA 92127-1653
(619) 752-4450
Mailing address
11440 W BERNARDO CT STE 256, SAN DIEGO, CA 92127-1653
(619) 752-4450
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY23971
CA
Other
Enumeration date
04/12/2011
Last updated
11/08/2018
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