Provider Demographics
NPI:1164506515
Name:DEVOS, LURLINE FRANCES (PHD)
Entity Type:Individual
Prefix:DR
First Name:LURLINE
Middle Name:FRANCES
Last Name:DEVOS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 CANNON ST
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06518-2511
Mailing Address - Country:US
Mailing Address - Phone:203-288-1846
Mailing Address - Fax:203-287-9089
Practice Address - Street 1:36 CANNON ST
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06518-2511
Practice Address - Country:US
Practice Address - Phone:203-288-1846
Practice Address - Fax:203-287-9089
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001697103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT680000719Medicare ID - Type UnspecifiedPSYCHOLOGIST