Minerva Gracia Lopez
Individual provider Active NPI Counselor · Westfield, MA
NPI 1780140608 · NPPES record last updated Feb 15, 2019
Key facts
- NPI
- 1780140608
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 77 Mill St
Westfield, MA 01085-4598 - Phone
- (413) 572-4111
- Fax
- (413) 572-4117
- NPI assigned
- Feb 15, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
77 Mill St
Westfield, MA 01085-4598
Mailing address
77 Mill St
Westfield, MA 01085-4598
Phone (413) 572-4111
Other providers in Westfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.