Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | ||
Y | 103T00000X | Psychologist | ||
N | 103TC1900X | Counseling Psychologist |
NPI | 1114420999 |
---|---|
Provider Name | Dr. Araceli Lopez |
First Address | Chula Vista, CA 91910-7103 |
Second Address | San Diego, CA 92103-6223 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2018 |
Last Update Date | 17/03/2018 |