MEDICARE: MRS. BIBIANA P. LOPEZ LMHC

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1871616953
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BIBIANA P. LOPEZ LMHC

Provider Business Mailing Address
First Line	:	30 PEAR TREE RD
Second Line	:
City	:	HAVERHILL
State	:	MA
Zip	:	01830-2338
Country	:	US
Telephone Number	:	978-373-7745
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 SUTTON ST STE 242
Second Line	:
City	:	NORTH ANDOVER
State	:	MA
Zip	:	01845-1651
Country	:	US
Telephone Number	:	978-566-9266
Fax Number	:

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

Provider Enumeration Date	:	04/06/2007
Last Update Date	:	01/07/2021

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