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NPI Code Detail

MEDICARE: RACHEL MARIE LOPEZ CCC-SLP

MEDICARE:   RACHEL MARIE LOPEZ  CCC-SLP
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
1235Z00000XSpeech-Language Pathologist32295CA

General Provider Information

NPI Number : 1841944410
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL MARIE LOPEZ CCC-SLP
Provider Business Mailing Address
First Line : 931 21ST ST # 3
Second Line :
City : SAN DIEGO
State : CA
Zip : 92102-1813
Country : US
Telephone Number : 619-508-7678
Fax Number :
Provider Business Practice Location Address
First Line : 1415 RIDGEBACK RD STE 6
Second Line :
City : CHULA VISTA
State : CA
Zip : 91910-6984
Country : US
Telephone Number : 619-207-0984
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2022
Last Update Date : 02/11/2022

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Directions to “ RACHEL MARIE LOPEZ CCC-SLP” Practice Location

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