Individual
MRS. MELANIE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PPS
Contact information
Practice address
22095 FOREST RIM CIR, LAKE FOREST, CA 92630-3312
(949) 510-2686
Mailing address
22095 FOREST RIM CIR, LAKE FOREST, CA 92630-3312
(949) 510-2686
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
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