Andrea Caroline Lopez, SSP, NCSP - Psychologist in Marion, IL

Andrea Caroline Lopez, SSP, NCSP is a Psychologist - School based in Marion, Illinois. Andrea Caroline Lopez is licensed to practice in Illinois (license number 2557889) and her current practice location is 4505 W Deyoung St Ste 203c, Marion, Illinois. She can be reached at her office (for appointments etc.) via phone at (618) 283-2222.

NPI number for Andrea Caroline Lopez is 1023820263 and her current mailing address is 1089 Boskydell Rd Apt 23, Carbondale, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023820263.

Contact Information

Andrea Caroline Lopez, SSP, NCSP
4505 W Deyoung St Ste 203c,
Marion, IL 62959-5899
(618) 283-2222
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameAndrea Caroline Lopez
GenderFemale
SpecialityPsychologist - School
Location4505 W Deyoung St Ste 203c, Marion, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1023820263
  • Provider Enumeration Date: 01/24/2025
  • Last Update Date: 01/24/2025

Medical Identifiers

Medical identifiers for Andrea Caroline Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023820263NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TS0200XPsychologist - School 2557889 (Illinois)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. Andrea Caroline 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 AddressPractice Location Address
Andrea Caroline Lopez, SSP, NCSP
1089 Boskydell Rd Apt 23,
Carbondale, IL 62902-6107

Ph: (618) 571-1566
Andrea Caroline Lopez, SSP, NCSP
4505 W Deyoung St Ste 203c,
Marion, IL 62959-5899

Ph: (618) 283-2222

Reviews and Comments


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