Doctor Name: | MS. SANDRA P LOPEZ |
NPI Number: | 1083721534 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 1227-125 |
Business Practice Address: | 9200 W Loomis Rd #217 Franklin, WI - 531328887 |
Business Phone Number: | 4145299180 |
Business Fax Number: | 4145299189 |
Mailing Address: | 3301 W Forest Home Ave, MILWAUKEE |
State: | WI |
Postal Code: | 532152843 |
Phone Number: | 4146476326 |
Fax Number: | 4146718860 |
NPI Enumeration Date: | 08/23/2006 |
NPI Last Update Date: | 01/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 1227-125 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |