Mabel Lopez in Fort Myers - Intellectual And Developmental Disabilities

Mabel Lopez - NPI 1508971037

Mabel Lopez is a Intellectual And Developmental Disabilities in Fort Myers, Florida. Mabel Lopez practices all healthcare services and medical treatments related to Intellectual And Developmental Disabilities. The NPI Number for Mabel Lopez is 1508971037. The last update date is 2022-07-21.

Mabel Lopez's current location address is 10175 6 Mile Cypress Pkwy Ste 3, Fort Myers, Florida. You can contact this provider via phone number 2397686500 and fax number 2397686421. The mailing address for Mabel Lopez is 10175 6 Mile Cypress Pkwy Ste 3, Fort Myers, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Mabel Lopez
Address 10175 6 Mile Cypress Pkwy Ste 3, Fort Myers, Florida
Phone Number 2397686500
Fax Number 2397686421
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1508971037
Provider Enumeration Date 2006-08-21
Last Updated Date 2022-07-21

Provider Mailing Address Detail

Address 10175 6 Mile Cypress Pkwy Ste 3
City Fort Myers
State Florida (FL)
Post Code 339666993
Phone Number 2397686500
Fax Number 2397686421

Provider's Primary Taxonomy Detail

Speciality Intellectual And Developmental Disabilities
Taxonomy 103Tm1800X
Licence No PY7375
Definition:
A psychologist who works with people who have cognitive impairments and developmental disabilities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PY7375 FL FLORIDA LICENSE NUMBER

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FAQs about Mabel Lopez

What is the unique provider identifier assigned to Mabel Lopez?

The Mabel Lopez has been issued the NPI (National Provider Identifier) 1508971037 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Mabel Lopez?

The Mabel Lopez is physically situated at 10175 6 Mile Cypress Pkwy Ste 3, in the city of Fort Myers, state of FL, with the postal code 339666993.

What is Mabel Lopez's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Mabel Lopez's specialized field of practice is Intellectual And Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 103Tm1800X.

On what date did Mabel Lopez receive its 1508971037 assignment from the Centers for Medicare & Medicaid Services?

The Mabel Lopez was assigned its 1508971037 on 2006-08-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Mabel Lopez, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Mabel Lopez, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-07-21.

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