MEDICARE: DR. CRISTY LOPEZ PH.D.

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	103TC0700X	Clinical Psychologist	3700	AZ
2	103TC2200X	Clinical Child & Adolescent Psychologist	3700	AZ

General Provider Information

NPI Number	:	1366670002
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CRISTY LOPEZ PH.D.

Provider Business Mailing Address
First Line	:	2942 N 24TH ST
Second Line	:	SUITE 110
City	:	PHOENIX
State	:	AZ
Zip	:	85016-7844
Country	:	US
Telephone Number	:	602-323-7824
Fax Number	:

Provider Business Practice Location Address
First Line	:	2942 N 24TH ST
Second Line	:	SUITE 110
City	:	PHOENIX
State	:	AZ
Zip	:	85016-7844
Country	:	US
Telephone Number	:	602-323-7824
Fax Number	:

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

Provider Enumeration Date	:	07/01/2009
Last Update Date	:	07/01/2009

Similar Medicare Providers

1194675785 — EXODUS HEALTH SOLUTIONS, LLC
Practice Location Address:

2942 N 24TH ST STE 114-327
PHOENIX, AZ
85016-7844

Practice Phone: 408-791-4817
Practice Fax:

1366412553 — DAVID MINORU FUJII MD
Practice Location Address:

2942 N 24TH ST , SUITE 114
PHOENIX, AZ
85016-7844

Practice Phone: 602-524-8678
Practice Fax:

1861590838 — EARN DAY RED TRANSPORTATION
Practice Location Address:

2942 N 24TH ST , SUITE 114-560
PHOENIX, AZ
85016-7844

Practice Phone: 602-476-2769
Practice Fax: 602-412-3025

1295920692 — SUSAN M. DAUBENBIS LCSW
Practice Location Address:

2942 N 24TH ST , SUITE 114
PHOENIX, AZ
85016-7844

Practice Phone: 602-550-8101
Practice Fax: 602-995-7290

1942539671 — HOME DENTAL SERVICES, LLC
Practice Location Address:

2942 N 24TH ST , #114
PHOENIX, AZ
85016-7844

Practice Phone: 303-526-7739
Practice Fax:

1104119411 — CHILD ENRICHMENT CENTER LLC
Practice Location Address:

2942 N 24TH ST STE 114642
PHOENIX, AZ
85016-7844

Practice Phone: 858-524-6399
Practice Fax:

Directions to “ DR. CRISTY LOPEZ PH.D.” 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.