Lopez Psychological Services, Pllc | |
501 Executive Pl Suite B Fayetteville NC 28305-5390 | |
(910) 502-0467 | |
(866) 707-8680 |
Full Name | Lopez Psychological Services, Pllc |
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Speciality | Psychologist |
Location | 501 Executive Pl, Fayetteville, North Carolina |
Authorized Official Name and Position | Karen M Herdzik (MANAGER) |
Authorized Official Contact | 9105020467 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lopez Psychological Services, Pllc Po Box 87036 Fayetteville NC 28304-7036 Ph: (910) 502-0467 | Lopez Psychological Services, Pllc 501 Executive Pl Suite B Fayetteville NC 28305-5390 Ph: (910) 502-0467 |
NPI Number | 1316283849 |
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Provider Enumeration Date | 01/03/2013 |
Last Update Date | 04/04/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316283849 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 4176 (North Carolina) | Primary |
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