| Doctor Name: | MRS. SUZANNE VALDERRAMA LOPEZ |
| NPI Number: | 1063540029 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PARAPROFESSIONAL |
| License Number: | |
| Business Practice Address: | 6980 Chestnut St Gilroy, CA - 950206635 |
| Business Phone Number: | 4088464708 |
| Business Fax Number: | 4088420757 |
| Mailing Address: | 600 El Toro Dr, HOLLISTER |
| State: | CA |
| Postal Code: | 950234230 |
| Phone Number: | 8316341276 |
| Fax Number: | 4088420757 |
| NPI Enumeration Date: | 03/01/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |