Search › New Mexico › 171000000X
Shastidy Lopez, CCSS
NPI 1962273854 · on the registry since 2024
Practice
- Address
- 1 Camino Oro Ct
Tijeras, NM 87059 - Phone
- (706) 593-8731
- Fax
- (706) 593-8732
- Organisation at this address
- New Mexico Teen Challenge, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 13
Registry record
- Primary taxonomy
- 171000000X
171000000X
- Sex
- Female
- Record last updated
- 2024-09-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico