DEIDRA ANN LOPEZ PRS NPI 1194461244

NPI Information

NPI: 1194461244
Provider Name: DEIDRA ANN LOPEZ, PRS
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
526 CANTON RD STE 201
AKRON, OH
ZIP 44312
Phone: (330) 625-4711
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Deidra Ann Lopez, PRS is a peer specialist in Akron, OH. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Deidra Ann Lopez, PRS NPI is 1194461244. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

526 CANTON RD STE 201
AKRON, OH
ZIP 44312-527
Phone: (330) 625-4711

The enumeration date for this NPI number is 5/11/2022 and was last updated on 5/11/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	175T00000X	Peer Specialist		003229	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	APS.003229	OTHER	OHIO	OHIO MENTAL HEALTH AND ADDICTION SERVICES (OMHAS)

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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