DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. SUSANNA LOPEZ PHD

MEDICARE: DR. SUSANNA LOPEZ PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist1508OK

General Provider Information

NPI Number : 1154275006
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUSANNA LOPEZ PHD
Provider Business Mailing Address
First Line : 1320 CRADDUCK RD
Second Line :
City : ADA
State : OK
Zip : 74820-8442
Country : US
Telephone Number : 580-559-6535
Fax Number :
Provider Business Practice Location Address
First Line : 1320 CRADDUCK RD
Second Line :
City : ADA
State : OK
Zip : 74820-8442
Country : US
Telephone Number : 580-559-6535
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2026
Last Update Date : 02/25/2026

Similar Medicare Providers

1730200825 — DEBRA LAWSON GRAHAM RN
Practice Location Address:
1308 CRADDUCK RD
ADA, OK
74820-8442
Practice Phone: 580-332-3699
Practice Fax: 580-421-9828
1790808731 — MS. KAREN RUTH WALTERS RN
Practice Location Address:
1308 CRADDUCK RD
ADA, OK
74820-8442
Practice Phone: 580-332-3699
Practice Fax: 580-421-9828
1417172925 — MR. LARSON DEAN WALTON BA,AA,AA,AA,AA,AA,AA
Practice Location Address:
1308 CRADDUCK RD
ADA, OK
74820-8442
Practice Phone: 580-332-3699
Practice Fax: 580-332-9828
1528263399 — MISS TERA L MCCULLAR BA
Practice Location Address:
1308 CRADDUCK RD
ADA, OK
74820-8442
Practice Phone: 580-332-3699
Practice Fax: 580-421-9828
1285949636 — SUSAN DOROTHY BRECHEEN RN
Practice Location Address:
1308 CRADDUCK RD
ADA, OK
74820-8442
Practice Phone: 580-332-3699
Practice Fax:
1255604716 — EVA CHRISTINE JOHNSON RSS
Practice Location Address:
1308 CRADDUCK RD
ADA, OK
74820-8442
Practice Phone: 580-332-3699
Practice Fax: 580-421-9828
1104264464 — DEE ANN JONES
Practice Location Address:
1308 CRADDUCK RD
ADA, OK
74820-8442
Practice Phone: 580-332-3699
Practice Fax:

Directions to “ DR. SUSANNA LOPEZ PHD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.