Gomez Lopez, Ayleen

Gomez Lopez, Ayleen is an individual health care provider with primary practice located at Po Box 411303 , Melbourne FL 32941-1303. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Gomez Lopez, Ayleen can be contacted via phone (314) 668-2623.

Contact Information

Primary practice address
Po Box 411303 Melbourne FL 32941-1303
Phone: (314) 668-2623
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2011039348 Missouri

Profile Details

NPI number 1467818906
LBN Legal business name Gomez Lopez, Ayleen
Credentials MA, LPC, LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2016
Last updated Jun 19th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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