Individual
MISS LISA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1210 S VERITY PKWY, MIDDLETOWN, OH 45044-5611
(513) 217-2878
Mailing address
1210 S VERITY PKWY, MIDDLETOWN, OH 45044-5611
(513) 217-2878
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
OH3226652
OH
Other
Enumeration date
09/17/2016
Last updated
09/17/2016
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