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Individual

DR. SHANTEL FERNANDEZ LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BA, MA, PHD

Contact information

Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(808) 433-2460
(808) 433-1558
Mailing address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1205
HI
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
1205
HI

Other

Enumeration date
09/27/2010
Last updated
04/21/2021
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