Individual
MARK ANTHONY LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EDS., NSCP
Contact information
Practice address
1500 W BALL RD, ANAHEIM, CA 92802-1626
(714) 234-3198
Mailing address
501 N CRESCENT WAY, ANAHEIM, CA 92801-5401
(714) 234-3198
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
210116935
CA
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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