Stephanie Marie Lopez Rivera

NPI #1912487927 in Burke, Virginia

Provider Information

NPI Number: 1912487927
Entity Type: Individual
Name: Stephanie Marie Lopez Rivera
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Enumeration Date: Aug 19, 2018
Last Updated: Aug 19, 2018

Practice Location

Address: 10302 MOCKINGBIRD POND CT
City: Burke
State: Virginia
ZIP Code: 22015-3715
Phone: (787) 307-0046

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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