Individual
DR. GISELL ESTRELLA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1111 SW 85TH AVE, PEMBROKE PINES, FL 33025-3353
(786) 471-6980
Mailing address
1111 SW 85TH AVE, PEMBROKE PINES, FL 33025-3353
(786) 471-6980
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY8529
FL
Other
Enumeration date
06/21/2012
Last updated
10/17/2022
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