Individual
DR. JESSICA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
CARR 134 KM 6.9 INT BERROCAL BO BAYANEY, HATILLO, PR 00659
(787) 377-3958
Mailing address
HC 03 BOX 33806, HATILLO, PR 00659
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5356
PR
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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