Provider Demographics
NPI:1013325141
Name:LOVELL, DORIAN KUUPUA (PARAPROFESSIONAL, AA)
Entity Type:Individual
Prefix:MS
First Name:DORIAN
Middle Name:KUUPUA
Last Name:LOVELL
Suffix:
Gender:F
Credentials:PARAPROFESSIONAL, AA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16-2094 LEHUA DR
Mailing Address - Street 2:
Mailing Address - City:PAHOA
Mailing Address - State:HI
Mailing Address - Zip Code:96778-7745
Mailing Address - Country:US
Mailing Address - Phone:808-636-0181
Mailing Address - Fax:
Practice Address - Street 1:16-2094 LEHUA DR
Practice Address - Street 2:
Practice Address - City:PAHOA
Practice Address - State:HI
Practice Address - Zip Code:96778-7745
Practice Address - Country:US
Practice Address - Phone:808-636-0181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-01
Last Update Date:2014-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health