Individual
MR. ERIC EDWARDS LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
83 E SHAW AVE STE 102, FRESNO, CA 93710-7616
(559) 226-0167
(559) 226-1559
Mailing address
1848 SE 1ST AVE, FORT LAUDERDALE, FL 33316
(954) 885-9500
(954) 885-9444
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
PY10006
FL
Other
Enumeration date
11/18/2007
Last updated
09/29/2017
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