Doctor Name: | FRANCISCO LOPEZ |
NPI Number: | 1053751990 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | 00-XXXX |
Business Practice Address: | 85 Lafayette Street New Britain, CT - 06051 |
Business Phone Number: | 8902243642 |
Business Fax Number: | 8602242760 |
Mailing Address: | 575 Main St Fl 2, Attn: Credentialing Dept MIDDLETOWN |
State: | CT |
Postal Code: | 064572845 |
Phone Number: | 8603476971 |
Fax Number: | |
NPI Enumeration Date: | 06/25/2013 |
NPI Last Update Date: | 06/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 00-XXXX |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |