Provider Demographics
NPI:1942886098
Name:LOVETTE, ANDREA (PSYD CANDIDATE)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:LOVETTE
Suffix:
Gender:F
Credentials:PSYD CANDIDATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16914 SANDY REEF CT
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-7436
Mailing Address - Country:US
Mailing Address - Phone:219-292-1828
Mailing Address - Fax:
Practice Address - Street 1:16914 SANDY REEF CT
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-7436
Practice Address - Country:US
Practice Address - Phone:219-292-1828
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-19
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX92141101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX92141OtherLPC