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Organization

LOPEZ PSYCHOLOGY & PERFORMANCE PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOEL ISAAC LOPEZ PHD-ABD, LPC (CEO)
(602) 488-1172
Entity
Organization

Contact information

Practice address
7009 W KIMBERLY WAY, GLENDALE, AZ 85308-5759
(602) 488-1172
Mailing address
7009 W KIMBERLY WAY, GLENDALE, AZ 85308-5759
(602) 488-1172

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
251S00000X
Community/Behavioral Health Agency
261QC1500X
Community Health Clinic/Center
261QC1800X
Corporate Health Clinic/Center
261QH0100X
Health Service Clinic/Center
261QM0850X
Adult Mental Health Clinic/Center

Other

Enumeration date
02/05/2025
Last updated
02/05/2025
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