Provider Demographics
NPI:1639209059
Name:LOVATO, STEPHEN LLOYD (PSYD, MFT)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:LLOYD
Last Name:LOVATO
Suffix:
Gender:M
Credentials:PSYD, MFT
Other - Prefix:DR
Other - First Name:STEPHEN
Other - Middle Name:LLOYD
Other - Last Name:FEFFERMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD, MFT
Mailing Address - Street 1:13400 RIVERSIDE DRIVE
Mailing Address - Street 2:SUITE 318
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-2501
Mailing Address - Country:US
Mailing Address - Phone:818-995-8555
Mailing Address - Fax:818-995-6077
Practice Address - Street 1:6931 VAN NUYS BLVD STE 102
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-3980
Practice Address - Country:US
Practice Address - Phone:818-376-0134
Practice Address - Fax:818-376-0134
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2019-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT 021379106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist