Provider Demographics
NPI:1497992523
Name:LOPEZ, ANA (SPED)
Entity Type:Individual
Prefix:MISS
First Name:ANA
Middle Name:
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:SPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 HARRINGTON RD
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07012-1444
Mailing Address - Country:US
Mailing Address - Phone:973-246-3637
Mailing Address - Fax:973-246-3637
Practice Address - Street 1:132 HARRINGTON RD
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07012-1444
Practice Address - Country:US
Practice Address - Phone:973-246-3637
Practice Address - Fax:973-246-3637
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-12
Last Update Date:2009-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor