Individual
LUISA ELIZABETH LOPEZ MADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18350 MOUNT LANGLEY ST STE 220, FOUNTAIN VALLEY, CA 92708-6912
(210) 413-3109
Mailing address
18350 MOUNT LANGLEY ST STE 220, FOUNTAIN VALLEY, CA 92708-6912
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
CA
Other
Enumeration date
07/26/2023
Last updated
08/30/2024
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