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NPI Code Detail

MEDICARE: BRENDA MARIA LOPEZ

MEDICARE: BRENDA MARIA LOPEZ
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1528902087
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENDA MARIA LOPEZ
Provider Business Mailing Address
First Line : 99 BATTERY PL APT 7B
Second Line :
City : NEW YORK
State : NY
Zip : 10280-1305
Country : US
Telephone Number : 914-409-5530
Fax Number :
Provider Business Practice Location Address
First Line : 65 MASPETH AVE STE 2A
Second Line :
City : BROOKLYN
State : NY
Zip : 11211-6817
Country : US
Telephone Number : 929-210-9333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2026
Last Update Date : 04/15/2026

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Directions to “ BRENDA MARIA LOPEZ ” Practice Location

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