Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PA086 | NV |
Y | 103TC0700X | Clinical Psychologist | PA086 | NV |
NPI | 1003573767 |
---|---|
Provider Name | Cyndy Guadalupe Soto-Lopez |
First Address | Reno, NV 89512-2277 |
Second Address | Reno, NV 89557-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2021 |
Last Update Date | 17/11/2021 |