Individual
CRISTAL LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
6 W LINCOLN AVENUE, ROMA, TX 78584-7858
(956) 847-4209
(956) 847-4332
Mailing address
5867 FM 1430, RIO GRANDE CITY, TX 78582
(956) 437-0813
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
40525
TX
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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