Individual
AIKISHA LOPEZ HARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
222 W. 39TH AVE., DEPARTMENT OF PSYCHIATRY, SAN MATEO, CA 94403-4364
(650) 573-3668
Mailing address
222 W. 39TH AVE., DEPARTMENT OF PSYCHIATRY, SAN MATEO, CA 94403-4364
(650) 573-3668
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PSY10001535
MA
103G00000X
Clinical Neuropsychologist
Primary
PSY29883
CA
103T00000X
Psychologist
PSY29883
—
Other
Enumeration date
07/19/2018
Last updated
06/23/2025
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