Provider Demographics
NPI:1831947613
Name:LOPEZ-ALVAREZ, JENNIFER G (MS CF-SLP)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:G
Last Name:LOPEZ-ALVAREZ
Suffix:
Gender:F
Credentials:MS CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4720 VALLEY FORGE LN
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-5533
Mailing Address - Country:US
Mailing Address - Phone:703-585-3509
Mailing Address - Fax:
Practice Address - Street 1:3750 SENTARA WAY STE R
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-4200
Practice Address - Country:US
Practice Address - Phone:757-901-1580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-08
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist