Individual
LORRAINE TAVAREZ LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPES
Contact information
Practice address
1057 OAKLAND DR, ELGIN, SC 29045-9279
(754) 779-0584
Mailing address
1057 OAKLAND DR, ELGIN, SC 29045-9279
(754) 779-0584
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
4657
SC
103TS0200X
School Psychologist
4657
SC
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LP1011
—
SC
Enumeration date
12/22/2015
Last updated
06/08/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us