Individual
MARISELA LOPEZ-SUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 PARKER RD RM 20, RICHMOND, CA 94806-2742
(510) 307-4643
Mailing address
3000 PARKER RD RM 20, RICHMOND, CA 94806-2742
(510) 307-4506
(510) 724-8829
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
150120277
CA
103TS0200X
School Psychologist
Primary
250181464
CA
106H00000X
Marriage & Family Therapist
AMFT133065
CA
106H00000X
Marriage & Family Therapist
IMF92977
CA
106H00000X
Marriage & Family Therapist
LMFT145499
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150120277
SCHOOL PSYCHOLOGIST
CA
Enumeration date
10/02/2015
Last updated
03/05/2026
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