Provider Demographics
NPI:1689818833
Name:LOPEZ-RIVERA, NORMA ALICIA (MS)
Entity type:Individual
Prefix:
First Name:NORMA
Middle Name:ALICIA
Last Name:LOPEZ-RIVERA
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 E BADILLO ST
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91723-2116
Mailing Address - Country:US
Mailing Address - Phone:626-732-1111
Mailing Address - Fax:626-732-1112
Practice Address - Street 1:203 E BADILLO ST
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91723-2116
Practice Address - Country:US
Practice Address - Phone:626-732-1111
Practice Address - Fax:626-732-1112
Is Sole Proprietor?:No
Enumeration Date:2009-04-30
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15105235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist