Individual
DR. ANDREA LOPEZ-YIANILOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
115 W 30TH ST RM 709, NEW YORK, NY 10001-4068
(646) 397-7626
Mailing address
13625 SW 82ND CT, PALMETTO BAY, FL 33158-1010
(305) 890-4771
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
022934
NY
Other
Enumeration date
04/27/2018
Last updated
10/28/2021
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