Doctor Name: | HERLINDA C LOPEZ |
NPI Number: | 1609162528 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | T0139841 |
Business Practice Address: | 6621 Doniphan Dr Ste G Canutillo, TX - 798355005 |
Business Phone Number: | 5758825100 |
Business Fax Number: | |
Mailing Address: | Po Box 2671, ANTHONY |
State: | NM |
Postal Code: | 880212671 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/20/2011 |
NPI Last Update Date: | 06/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | T0139841 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |