Doctor Name: | MRS. KATHLEEN ANN LOVELAND |
NPI Number: | 1063540565 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LLP |
License Number: | 6301009117 |
Business Practice Address: | 376 E Apple Ave Muskegon, MI - 494423466 |
Business Phone Number: | 2317241111 |
Business Fax Number: | 2317241300 |
Mailing Address: | 2060 Becker Rd, MUSKEGON |
State: | MI |
Postal Code: | 494451708 |
Phone Number: | 2317448737 |
Fax Number: | |
NPI Enumeration Date: | 02/28/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 6301009117 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |