| Doctor Name: | MRS. MICHELLE LOPEZ |
| NPI Number: | 1104098375 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP-CCC |
| License Number: | 103102 |
| Business Practice Address: | 302 Kings Hwy Ste 208 Brownsville, TX - 785214225 |
| Business Phone Number: | 9565508200 |
| Business Fax Number: | 9565508133 |
| Mailing Address: | 729 N. 77 Sunshine Strip, HARLINGEN |
| State: | TX |
| Postal Code: | 785508847 |
| Phone Number: | 9564214667 |
| Fax Number: | 9564212016 |
| NPI Enumeration Date: | 03/28/2008 |
| NPI Last Update Date: | 03/28/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 103102 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |