Individual
DR. MANUEL LOPEZ MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD LIC MD
Contact information
Practice address
133 DEFENSE HWY 205, ANNAPOLIS, MD 21401
(410) 643-8077
(410) 643-3777
Mailing address
52F QUEEN CAROLINE CT, CHESTER, MD 21619
(410) 643-8077
(410) 643-3777
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1045
MD
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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