Doctor Name: | PROF. LOVERTON FIDEL |
NPI Number: | 1063877686 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A., M.S., M.B.A. |
License Number: | 37AC00245600 |
Business Practice Address: | 169 Main St Ste 2 Matawan, NJ - 077474105 |
Business Phone Number: | 7322476263 |
Business Fax Number: | |
Mailing Address: | 1430 Route 27, NORTH BRUNSWICK |
State: | NJ |
Postal Code: | 089021538 |
Phone Number: | 7322476263 |
Fax Number: | |
NPI Enumeration Date: | 12/24/2015 |
NPI Last Update Date: | 12/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 37AC00245600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |