Rafael Lopez in Fort Myers - Clinical Neuropsychologist
Rafael Lopez - NPI 1457491714
Rafael Lopez is a Clinical Neuropsychologist in Fort Myers, Florida. Rafael Lopez practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Rafael Lopez is 1457491714. The last update date is 2018-01-02.
Rafael Lopez's current location address is 12424 Brantley Commons Ct, Fort Myers, Florida. You can contact this provider via phone number 2393328009 and fax number 2393324977. The mailing address for Rafael Lopez is 12424 Brantley Commons Ct, Fort Myers, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rafael Lopez |
|---|---|
| Address | 12424 Brantley Commons Ct, Fort Myers, Florida |
| Phone Number | 2393328009 |
| Fax Number | 2393324977 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1457491714 |
|---|---|
| Provider Enumeration Date | 2007-02-07 |
| Last Updated Date | 2018-01-02 |
Provider Mailing Address Detail
| Address | 12424 Brantley Commons Ct |
|---|---|
| City | Fort Myers |
| State | Florida (FL) |
| Post Code | 339075680 |
| Phone Number | 2393328009 |
| Fax Number | 2393324977 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | ME69037 |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 251555500 | FL | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Rafael Lopez by the Centers for Medicare & Medicaid Services?
The Rafael Lopez has been issued the NPI (National Provider Identifier) 1457491714. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Rafael Lopez is physically located?
The Rafael Lopez is situated at the following address: 12424 Brantley Commons Ct, Fort Myers, FL 339075680.
What is Rafael Lopez's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Rafael Lopez is Clinical Neuropsychologist, and the taxonomy code that classifies this field of practice is 103G00000X.
On what date did the Rafael Lopez receive the assignment of its 1457491714 from the Centers for Medicare & Medicaid Services?
The Rafael Lopez was issued its 1457491714 by the Centers for Medicare & Medicaid Services on 2007-02-07.
As of what date were the details related to Rafael Lopez most recently updated or revised?
The information pertaining to Rafael Lopez, including its address, specialty, and other relevant details, was last updated or revised on 2018-01-02.
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