Individual
MICHELLE JACOBS LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
1130 W CHESTER PIKE, WEST CHESTER, PA 19382-5005
(972) 677-7951
(888) 371-0842
Mailing address
27 RANDOLPH RD, HOWELL, NJ 07731-8611
(786) 315-6988
(888) 371-0842
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS018577
TX
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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