Doctor Name: | ALICE LOVELL |
NPI Number: | 1033451026 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D., RN |
License Number: | PY 6619 |
Business Practice Address: | 305 Kachuba Ct Altamonte Springs, FL - 327013666 |
Business Phone Number: | 4079513150 |
Business Fax Number: | |
Mailing Address: | 305 Kachuba Ct, ALTAMONTE SPRINGS |
State: | FL |
Postal Code: | 327013666 |
Phone Number: | 4079513150 |
Fax Number: | |
NPI Enumeration Date: | 03/18/2013 |
NPI Last Update Date: | 04/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PY 6619 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |