Provider Demographics
NPI:1891036190
Name:LOVETT, THARWAT (LPE)
Entity Type:Individual
Prefix:
First Name:THARWAT
Middle Name:
Last Name:LOVETT
Suffix:
Gender:F
Credentials:LPE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2709 CREEKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-4584
Mailing Address - Country:US
Mailing Address - Phone:501-837-7893
Mailing Address - Fax:
Practice Address - Street 1:10515 W MARKHAM ST
Practice Address - Street 2:SUITE E3
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-2297
Practice Address - Country:US
Practice Address - Phone:501-251-1857
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-12
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR12-01AEPL103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst