IndividualActive
Andrea Lopez, SSP, NCSP
NPI 1023820263 · School Psychologist · Marion, IL
Provider details
- NPI number
- 1023820263
- Entity type
- Individual
- Primary specialty
- School PsychologistBehavioral Health & Social Service Providers
- Credential
- SSP, NCSP
- Sex
- Female
- Sole proprietor
- No
- License
- 2557889 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
4505 W Deyoung St Ste 203c
Marion, IL 62959-5899
Phone: (618) 283-2222
Approximate (ZIP-level) locationGet directions
Mailing address
1089 Boskydell Rd Apt 23
Carbondale, IL 62902-6107
Registry dates
- Enumerated
- 2025-01-24
- Last updated
- 2025-01-24
- Certified
- 2025-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.