Individual
DR. NESTOR L LOPEZ-DURAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
530 CHURCH ST STE 1465, ANN ARBOR, MI 48109-1043
(734) 647-1051
Mailing address
530 CHURCH ST STE 1465, ANN ARBOR, MI 48109-1043
(734) 647-1051
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
6301014368
MI
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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