Individual
NIKKI JANE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
402 FRONT ST # 406, PERRYVILLE, MD 21903-2752
(719) 299-6193
Mailing address
PO BOX 637, PERRYVILLE, MD 21903-0637
(719) 299-6193
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
029348
NY
235Z00000X
Speech-Language Pathologist
Primary
10859
MD
235Z00000X
Speech-Language Pathologist
SZ5473
FL
Other
Enumeration date
08/01/2011
Last updated
06/21/2026
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