Individual
MISS ITZEL MONSERRAT LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-A
Contact information
Practice address
1333 CORPORATE DR, IRVING, TX 75038-2509
(972) 871-1800
Mailing address
307 BROOKWOOD DR, RICHARDSON, TX 75080-4731
(469) 258-9572
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
42352
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000
N/A
—
Enumeration date
03/12/2022
Last updated
03/13/2022
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