Lopez, Mary

Lopez, Mary is an sole proprietor health care provider with primary practice located at 39 N. Clinton Ave Catholic Charities, Trenton NJ 08609. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Lopez, Mary can be contacted via phone (609) 394-9398.

Contact Information

Primary practice address
39 N. Clinton Ave Catholic Charities Trenton NJ 08609
Phone: (609) 394-9398
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1245558774
LBN Legal business name Lopez, Mary
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2010
Last updated Aug 29th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245558774 NPPES
New Jersey MEDICAID 0018872

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