Provider Demographics
NPI:1093932246
Name:LOPES, BELINDA JO
Entity Type:Individual
Prefix:DR
First Name:BELINDA
Middle Name:JO
Last Name:LOPES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 OLD VINE CT
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-2164
Mailing Address - Country:US
Mailing Address - Phone:925-279-1120
Mailing Address - Fax:925-362-1919
Practice Address - Street 1:1460 MARIA LN
Practice Address - Street 2:SUITE 310
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-8802
Practice Address - Country:US
Practice Address - Phone:925-279-1120
Practice Address - Fax:925-944-2118
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY17849103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical