Provider Demographics
NPI:1114209608
Name:LOPEZ, ARACELY (PSYD)
Entity Type:Individual
Prefix:
First Name:ARACELY
Middle Name:
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:MS
Other - First Name:ARACELY
Other - Middle Name:
Other - Last Name:ARELLANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:8383 WILSHIRE BLVD.
Mailing Address - Street 2:SUITE 800
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211
Mailing Address - Country:US
Mailing Address - Phone:323-456-8686
Mailing Address - Fax:
Practice Address - Street 1:8383 WILSHIRE BLVD.
Practice Address - Street 2:SUITE 800
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211
Practice Address - Country:US
Practice Address - Phone:323-456-8686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-12
Last Update Date:2018-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor