Individual
AMELIA MARIE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
523 E GENESEE ST, FAYETTEVILLE, NY 13066-1536
(518) 400-0313
Mailing address
523 E GENESEE ST, FAYETTEVILLE, NY 13066-1536
(518) 400-0313
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
P142739
NY
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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