Healthcare Provider Details

I. General information

NPI: 1932067220
Provider Name (Legal Business Name): CLAUDIA LOPEZ MAZYCK ED.S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/14/2026
Last Update Date: 01/14/2026
Certification Date: 01/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14625 BALTIMORE AVE # 343
LAUREL MD
20707-4902
US

IV. Provider business mailing address

949 1ST ST SE PH 18
WASHINGTON DC
20003-4892
US

V. Phone/Fax

Practice location:
  • Phone: 202-830-1381
  • Fax:
Mailing address:
  • Phone: 863-605-9837
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: