Provider Demographics
NPI:1114420999
Name:LOPEZ, ARACELI (PHD, MPH)
Entity Type:Individual
Prefix:DR
First Name:ARACELI
Middle Name:
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:PHD, MPH
Other - Prefix:DR
Other - First Name:ARACELI
Other - Middle Name:
Other - Last Name:LOPEZ-ARENAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, MPH
Mailing Address - Street 1:7850 VISTA HILL AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-2717
Mailing Address - Country:US
Mailing Address - Phone:858-381-2742
Mailing Address - Fax:
Practice Address - Street 1:7850 VISTA HILL AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-2717
Practice Address - Country:US
Practice Address - Phone:858-381-2742
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-17
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling