Susana Ayala Lopez, MS is a
Psychologist based in Atascadero, California. Susana Ayala Lopez is licensed to practice in California (license number 28957) and her current practice location is
5955 Capistrano Ave Ste E, Atascadero, California. She can be reached at her office (for appointments etc.) via phone at
(805) 703-5330.
NPI number for Susana Ayala Lopez is 1669659512 and her current mailing address is 5955 Capistrano Ave Ste E, Atascadero, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669659512.
Healthcare Provider's Profile
| Full Name | Susana Ayala Lopez |
|---|
| Gender | Female |
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| Speciality | Psychologist |
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| Location | 5955 Capistrano Ave Ste E, Atascadero, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1669659512
- Provider Enumeration Date: 01/23/2008
- Last Update Date: 09/25/2021
Medical Identifiers
Medical identifiers for Susana Ayala Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669659512 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | 28957 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Susana Ayala Lopez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Susana Ayala Lopez, MS
5955 Capistrano Ave Ste E,
Atascadero, CA 93422-7227
Ph: (805) 703-5330 | Susana Ayala Lopez, MS
5955 Capistrano Ave Ste E,
Atascadero, CA 93422-7227
Ph: (805) 703-5330 |
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