Provider Demographics
NPI:1609026616
Name:LOPEZ, ARASELI (MS ED TSHH)
Entity Type:Individual
Prefix:
First Name:ARASELI
Middle Name:
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:MS ED TSHH
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 670995
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-0995
Mailing Address - Country:US
Mailing Address - Phone:718-607-9880
Mailing Address - Fax:
Practice Address - Street 1:8688 PALERMO ST
Practice Address - Street 2:
Practice Address - City:HOLLIS
Practice Address - State:NY
Practice Address - Zip Code:11423-1220
Practice Address - Country:US
Practice Address - Phone:718-607-9880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-25
Last Update Date:2008-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY16655232355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant