| Steven Lopez Psychiatric Services | |
|
2777 Speissegger Dr Charleston SC 29405-8229 | |
| (843) 324-2559 | |
| (843) 769-7288 |
| Full Name | Steven Lopez Psychiatric Services |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2777 Speissegger Dr, Charleston, South Carolina |
| Authorized Official Name and Position | Steven G Lopez (SOLE MEMBER) |
| Authorized Official Contact | 8433242559 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven Lopez Psychiatric Services Po Box 14035 Charleston SC 29422-4035 Ph: (843) 324-2559 | Steven Lopez Psychiatric Services 2777 Speissegger Dr Charleston SC 29405-8229 Ph: (843) 324-2559 |
| NPI Number | 1427509736 |
|---|---|
| Provider Enumeration Date | 10/21/2016 |
| Last Update Date | 10/21/2016 |
| Medicare PECOS PAC ID | 3870873730 |
|---|---|
| Medicare Enrollment ID | O20161212000201 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427509736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Steven Gerald Lopez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356459218 PECOS PAC ID: 8820099658 Enrollment ID: I20070123000070 |
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