Provider Demographics
NPI:1275955387
Name:LOVUS, YVONNE ALEXIS (MA,CC,C-SLP, CAL)
Entity Type:Individual
Prefix:MS
First Name:YVONNE
Middle Name:ALEXIS
Last Name:LOVUS
Suffix:
Gender:F
Credentials:MA,CC,C-SLP, CAL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:860 SOUTH WOOSTER STREET
Mailing Address - Street 2:SUITE 204
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90035
Mailing Address - Country:US
Mailing Address - Phone:310-659-4419
Mailing Address - Fax:310-659-4419
Practice Address - Street 1:860 SOUTH WOOSTER STREET
Practice Address - Street 2:SUITE 204
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90035
Practice Address - Country:US
Practice Address - Phone:310-659-4419
Practice Address - Fax:310-659-4419
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-08
Last Update Date:2014-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP3209235Z00000X
MD00497511235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist