Individual
ALICIA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 SUTTER PL, CLOVIS, NM 88101-4611
(806) 420-6567
Mailing address
1600 SUTTER PL, CLOVIS, NM 88101-4611
(575) 769-4490
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SAH-2023-0020
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/23/2019
Last updated
01/28/2025
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