Lopez, Myra Dina

Lopez, Myra Dina is an sole proprietor health care provider with primary practice located at 15434 W Sage St , Victorville CA 92392-9751. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lopez, Myra Dina can be contacted via phone (760) 843-0506.

Contact Information

Primary practice address
15434 W Sage St Victorville CA 92392-9751
Phone: (760) 843-0506
Fax: (760) 843-0507
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW96658 California

Profile Details

NPI number 1023572583
LBN Legal business name Lopez, Myra Dina
Credentials ACSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2019
Last updated Feb 13th, 2021 - about 5 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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