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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. WANDAMARIA B LOPEZ, PHD

Active Sole Proprietor

DR. WANDAMARIA B LOPEZ, PHD is a Clinical Psychologist healthcare provider located in VALDOSTA, Georgia. NPI 1124052667 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · VALDOSTA, GA

Registration Details

NPI Number
1124052667
Provider Type
Individual
Gender
Female
NPI Issued
Jul 10, 2006 (20.139849313011 yrs)
Last Updated
Apr 28, 2021
License
PSY001532 (GA)
Sole Proprietor
Yes

Practice Information

Address
2935 N ASHLEY ST
SUITE F
VALDOSTA, GA, 316021777
Browse GA providers · Browse ZIP 31602
Phone
2293332273
Fax
2292937911
Primary Specialty
Clinical Psychologist
103TC0700X

Other Clinical Psychologist Providers in VALDOSTA, GA

Name Credential NPI
WILHELMENIA HOWELL PHD 1386670115
DR. JAMES RUSSELL GRAY-COUCH PHD 1619171618
DR. SARAH B. SHEVCHUK PSY.D. 1871996660
ANDREA BROCKMAN 1265396360
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.