Provider Demographics
NPI:1326170135
Name:LOVETT, PAULA S (PHD)
Entity Type:Individual
Prefix:MS
First Name:PAULA
Middle Name:S
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:PO BOX 90308
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FM
Mailing Address - Zip Code:32607
Mailing Address - Country:US
Mailing Address - Phone:352-378-2600
Mailing Address - Fax:352-378-1828
Practice Address - Street 1:5024 NW 27TH COURT
Practice Address - Street 2:SUITE B
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606
Practice Address - Country:US
Practice Address - Phone:352-378-2600
Practice Address - Fax:352-378-1828
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH001143101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health