Provider Demographics
NPI:1447568837
Name:LOPEZ, DARCY C (MA)
Entity type:Individual
Prefix:
First Name:DARCY
Middle Name:C
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 LINLEW DR
Mailing Address - Street 2:#6
Mailing Address - City:DERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03038-2971
Mailing Address - Country:US
Mailing Address - Phone:802-734-6117
Mailing Address - Fax:
Practice Address - Street 1:95 LINCOLN ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605-2431
Practice Address - Country:US
Practice Address - Phone:508-453-3013
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-20
Last Update Date:2012-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor