DR. MARY BETH LOPEZ PSY.D NPI 1871795559

NPI Information

NPI: 1871795559
Provider Name: DR. MARY BETH LOPEZ, PSY.D
Classification: Psychologist - 103TA0400X
Specialization: Addiction (Substance Use Disorder)
Entity Type: Individual
Address: 6331 SW 41ST CT
DAVIE, FL
ZIP 33314
Phone: (954) 533-9019

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NPI Details

DR. Mary Beth Lopez, PSY.D is an addiction (substance use disorder) psychologist in Davie, FL. The provider is a psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior. DR. Mary Beth Lopez, PSY.D NPI is 1871795559. 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:

6331 SW 41ST CT
DAVIE, FL
ZIP 33314-405
Phone: (954) 533-9019
Fax: (954) 530-2054

The enumeration date for this NPI number is 6/4/2007 and was last updated on 1/22/2014.

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	103T00000X	Psychologist				No
2	103TA0700X	Psychologist	Adult Development & Aging			No
3	103TC0700X	Psychologist	Clinical	PY 7941	FLORIDA	No
4	103TC2200X	Psychologist	Clinical Child & Adolescent			No
5	103TB0200X	Psychologist	Cognitive & Behavioral			No
6	103TC1900X	Psychologist	Counseling			No
7	103TA0400X	Psychologist	Addiction (Substance Use Disorder)			Yes

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: 11/21/2025

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