Doctor Name: | SYLVIA LOPEZ |
NPI Number: | 1306242235 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | M-08587 |
Business Practice Address: | 405 N Date St Truth Or Consequences, NM - 879012377 |
Business Phone Number: | 5758947589 |
Business Fax Number: | 5758947584 |
Mailing Address: | 405 N Date St, TRUTH OR CONSEQUENCES |
State: | NM |
Postal Code: | 879012377 |
Phone Number: | 5758947589 |
Fax Number: | 5758947584 |
NPI Enumeration Date: | 11/04/2014 |
NPI Last Update Date: | 11/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041S0200X |
License Number: | M-08587 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | School |
Taxonomy Definition: |