Doctor Name: | RAYMOND E LOVETT |
NPI Number: | 1093923260 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | 089.0000353 |
Business Practice Address: | 3057 Route 30 Dorset, VT - 052513710 |
Business Phone Number: | 8023536590 |
Business Fax Number: | 8023252608 |
Mailing Address: | 5042 State Rt 315, PAWLET |
State: | VT |
Postal Code: | 057619507 |
Phone Number: | 8023536590 |
Fax Number: | 8023252608 |
NPI Enumeration Date: | 05/19/2007 |
NPI Last Update Date: | 10/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 089.0000353 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |