Individual
RUTH JOHANNA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIC.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC1900X
Counseling Psychologist
Primary
4134
PR
103TF0000X
Family Psychologist
—
—
103TR0400X
Rehabilitation Psychologist
—
—
Other
Enumeration date
01/10/2012
Last updated
05/25/2018
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