| Doctor Name: | MARY E LOPUSNAK |
| NPI Number: | 1063700649 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | SW10283 |
| Business Practice Address: | 33913 State Road 54 #102 Wesley Chapel, FL - 335439176 |
| Business Phone Number: | 8137139402 |
| Business Fax Number: | 8137139402 |
| Mailing Address: | Po Box 284, SAN ANTONIO |
| State: | FL |
| Postal Code: | 335760284 |
| Phone Number: | 8137139402 |
| Fax Number: | 8132831184 |
| NPI Enumeration Date: | 07/15/2011 |
| NPI Last Update Date: | 04/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | SW10283 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |