Provider Demographics
NPI:1366455156
Name:LOPEZMCCURDY, YOLANDA (PSYD, RN)
Entity Type:Individual
Prefix:DR
First Name:YOLANDA
Middle Name:
Last Name:LOPEZMCCURDY
Suffix:
Gender:F
Credentials:PSYD, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1311
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95683-1311
Mailing Address - Country:US
Mailing Address - Phone:916-837-8137
Mailing Address - Fax:916-354-3975
Practice Address - Street 1:2118 P ST
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-6149
Practice Address - Country:US
Practice Address - Phone:916-837-8137
Practice Address - Fax:916-354-3975
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY17416103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical