Provider Demographics
NPI:1588931349
Name:LOPEZ, MARIA ALEJANDRA (PHD, LPCS)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:ALEJANDRA
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:PHD, LPCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:4001 WALNUT HILL LN STE Y100
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75229-6239
Mailing Address - Country:US
Mailing Address - Phone:972-502-4063
Mailing Address - Fax:214-932-7533
Practice Address - Street 1:2700 CLUB RIDGE DR APT 22
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-3765
Practice Address - Country:US
Practice Address - Phone:972-821-3086
Practice Address - Fax:214-932-7533
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-22
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68482101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional