Provider Demographics
NPI:1265222681
Name:LOVERING, KAITLYN ANNE
Entity type:Individual
Prefix:
First Name:KAITLYN
Middle Name:ANNE
Last Name:LOVERING
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 WINDSOR RD
Mailing Address - Street 2:
Mailing Address - City:EAST WALPOLE
Mailing Address - State:MA
Mailing Address - Zip Code:02032-1358
Mailing Address - Country:US
Mailing Address - Phone:508-404-7012
Mailing Address - Fax:508-404-7012
Practice Address - Street 1:27 PLYMOUTH DR
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-5407
Practice Address - Country:US
Practice Address - Phone:781-443-9344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor