MEDICARE: DR. ADAM J LOPEZ PSYD

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
1	103T00000X	Psychologist

General Provider Information

NPI Number	:	1205634235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADAM J LOPEZ PSYD

Provider Business Mailing Address
First Line	:	7303 CONDOR ST
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93306-7331
Country	:	US
Telephone Number	:	661-204-4467
Fax Number	:

Provider Business Practice Location Address
First Line	:	1359 N FRESNO ST
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93703-3837
Country	:	US
Telephone Number	:	559-780-8695
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2025
Last Update Date	:	03/10/2026

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