Provider Demographics
NPI:1225246051
Name:LOVETT, HALLIE (PHD)
Entity Type:Individual
Prefix:DR
First Name:HALLIE
Middle Name:
Last Name:LOVETT
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 1:5042 STATE RT 315
Mailing Address - Street 2:
Mailing Address - City:PAWLET
Mailing Address - State:VT
Mailing Address - Zip Code:05761-9507
Mailing Address - Country:US
Mailing Address - Phone:802-353-0878
Mailing Address - Fax:802-325-2608
Practice Address - Street 1:5042 STATE RT 315
Practice Address - Street 2:
Practice Address - City:PAWLET
Practice Address - State:VT
Practice Address - Zip Code:05761-9507
Practice Address - Country:US
Practice Address - Phone:802-353-0878
Practice Address - Fax:802-325-2608
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT048.0000616103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical