Lopez Hechavarria, Dailiana
Lopez Hechavarria, Dailiana is an individual health care provider with primary practice located at 3803 N 5Th St , Philadelphia PA 19140-3337. She recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as her primary health care specialty. Lopez Hechavarria, Dailiana can be contacted via phone (215) 539-2473.Contact Information
Primary practice address
3803 N 5Th St
Philadelphia PA 19140-3337
Phone: (215) 539-2473
Fax: (215) 240-6328
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | Pennsylvania |
Profile Details
NPI number | 1528735115 |
---|---|
LBN Legal business name | Lopez Hechavarria, Dailiana |
Credentials | MPH |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 23rd, 2021 |
Last updated | Aug 23rd, 2021 - about 4 years ago |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1528735115 | NPPES |
Pennsylvania | MEDICAID | 32263260 |
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