Individual
MIRIAM L LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPSY
Contact information
Practice address
HC 74 BOX 6869, CAYEY, PR 00736-9539
(939) 325-3257
Mailing address
HC 74 BOX 6869, CAYEY, PR 00736-9539
(939) 325-3257
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
5685
PR
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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