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Dr. Wandamaria B Lopez, PHD
Clinical Psychologist in Valdosta, Georgia
NPI 1124052667

Wandamaria B Lopez is a Clinical Psychologist based in Valdosta, GA and is specialized in Clinical. Wandamaria B Lopez practices in Valdosta, GA and has the professional credentials of PHD. The NPI Number for Wandamaria B Lopez is 1124052667 and holds a License No. PSY001532 (Georgia).

The current practice location address for Wandamaria B Lopez is 2935 N Ashley St, Valdosta, GA and can be reached out via phone at 229-333-2273 and via fax at 229-293-7911. You can also correspond with Wandamaria B Lopez through the mailing address at 2935 N ASHLEY ST, VALDOSTA, GA - 31602-1777 (mailing address contact number: 229-333-2273).

Location: 2935 N Ashley St, Valdosta, GA, 31602-1777
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124052667
Provider Name
Wandamaria B Lopez
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
2935 N Ashley St, Valdosta, GA, 31602-1777
Phone Number
229-333-2273
Fax Number
229-293-7911
Provider Enumeration Date
07/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
XXXXX9255 01 GA TRICARE
281450LO 01 GA BCBS
000463724B 05 GA
institution
Provider Business Practice Location Address Details
Address
2935 N Ashley St
City
Valdosta
State
Georgia
Zip
31602-1777
Phone Number
229-333-2273
Fax Number
229-293-7911
person
Provider Business Mailing Address Details
Address
2935 N Ashley St
City
Valdosta
State
Georgia
Zip
31602-1777
Phone Number
229-333-2273
Fax Number
229-293-7911
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
PSY001532 (Georgia)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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