Provider Demographics
NPI:1548380082
Name:LOVELAND, CHRISTINE FRANCES (PHD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:FRANCES
Last Name:LOVELAND
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 1:416 DARTMOUTH LN
Mailing Address - Street 2:
Mailing Address - City:WEST GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19390-8828
Mailing Address - Country:US
Mailing Address - Phone:610-869-9614
Mailing Address - Fax:
Practice Address - Street 1:416 DARTMOUTH LN
Practice Address - Street 2:
Practice Address - City:WEST GROVE
Practice Address - State:PA
Practice Address - Zip Code:19390-8828
Practice Address - Country:US
Practice Address - Phone:610-869-9614
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2013-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS008690L103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical