Provider Demographics
NPI:1972320083
Name:LOPEZ, BRITNEY SAVANA (AMFT)
Entity type:Individual
Prefix:
First Name:BRITNEY
Middle Name:SAVANA
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2746 LAVENDER ST
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91767-2279
Mailing Address - Country:US
Mailing Address - Phone:626-391-2625
Mailing Address - Fax:
Practice Address - Street 1:16168 BEACH BLVD STE 215
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-3881
Practice Address - Country:US
Practice Address - Phone:714-849-4550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-21
Last Update Date:2024-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty