Doctor Name: | DR. JAVIER LOPEZ |
NPI Number: | 1023025327 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 044539 |
Business Practice Address: | 267 Grant St Bridgeport, CT - 066102805 |
Business Phone Number: | 2033843897 |
Business Fax Number: | 2033843950 |
Mailing Address: | 267 Grant St, BRIDGEPORT |
State: | CT |
Postal Code: | 066102805 |
Phone Number: | 2033843897 |
Fax Number: | 2033843950 |
NPI Enumeration Date: | 08/01/2006 |
NPI Last Update Date: | 12/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084P0805X |
License Number: | 044539 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Geriatric Psychiatry |
Taxonomy Definition: | Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |