Individual
DR. ELISENDA SANTIAGO-LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(933) 989-1932
Mailing address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10002427
MA
101YP2500X
Professional Counselor
37PC01185700
NJ
103TC0700X
Clinical Psychologist
Primary
4044
PR
Other
Enumeration date
07/11/2011
Last updated
09/17/2025
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