Doctor Name: | ANDREA LOVVORN |
NPI Number: | 1184008112 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 39234 |
Business Practice Address: | 555 N Perris Blvd Perris, CA - 925712811 |
Business Phone Number: | 9514365366 |
Business Fax Number: | 9519432653 |
Mailing Address: | 555 N Perris Blvd, PERRIS |
State: | CA |
Postal Code: | 925712811 |
Phone Number: | 9514365366 |
Fax Number: | 9519432653 |
NPI Enumeration Date: | 07/20/2015 |
NPI Last Update Date: | 07/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 39234 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |