Provider Demographics
NPI:1326253113
Name:LOPEZ, CYNTHIA MAUREEN
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:MAUREEN
Last Name:LOPEZ
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 1:51 AYER ST
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-6125
Mailing Address - Country:US
Mailing Address - Phone:978-689-4353
Mailing Address - Fax:
Practice Address - Street 1:51 AYER ST
Practice Address - Street 2:
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-6125
Practice Address - Country:US
Practice Address - Phone:978-689-4353
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor