Lopez, Patty

Lopez, Patty is an individual health care provider with primary practice located at 906 N 1St St , Grants NM 87020-2806. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Lopez, Patty can be contacted via phone (505) 287-7985.

Contact Information

Primary practice address
906 N 1St St Grants NM 87020-2806
Phone: (505) 287-7985
Fax: (505) 287-3814
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0134111 New Mexico

Profile Details

NPI number 1285997544
LBN Legal business name Lopez, Patty
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2012
Last updated Jun 21st, 2012 - about 12 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 1285997544 NPPES
New Mexico MEDICAID 44842

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