Provider Demographics
NPI:1598969925
Name:NORMA LOPEZ
Entity Type:Organization
Organization Name:NORMA LOPEZ
Other - Org Name:PSYCHOLOGICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:210-224-1100
Mailing Address - Street 1:165 W RAMPART DR
Mailing Address - Street 2:#802
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-6775
Mailing Address - Country:US
Mailing Address - Phone:210-979-0542
Mailing Address - Fax:
Practice Address - Street 1:1500 S ZARZAMORA ST
Practice Address - Street 2:#129
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78207-7210
Practice Address - Country:US
Practice Address - Phone:210-224-1100
Practice Address - Fax:210-224-1102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3-1752103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty