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
Fax: (215) 240-6328
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528735115 NPPES
Pennsylvania MEDICAID 32263260

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