Doctor Name: | MRS. CARRIE ELIZABETH LOPEZ |
NPI Number: | 1891976163 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CCC-SLP CERT AVT |
License Number: | SLP-1660 |
Business Practice Address: | 1888 Clayton Ridge Dr Winchester, VA - 226016393 |
Business Phone Number: | 5017075873 |
Business Fax Number: | 5403013618 |
Mailing Address: | 1888 Clayton Ridge Dr, WINCHESTER |
State: | VA |
Postal Code: | 226016393 |
Phone Number: | 5017075873 |
Fax Number: | 5403013618 |
NPI Enumeration Date: | 11/15/2007 |
NPI Last Update Date: | 01/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP-1660 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WV |
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 |