Provider Demographics
NPI:1669134490
Name:LOVETT, SARA
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:LOVETT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:
Other - Last Name:TRUMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSED, EDS, NCSP
Mailing Address - Street 1:3040 FOLSAM RD NW
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:OH
Mailing Address - Zip Code:44615-9223
Mailing Address - Country:US
Mailing Address - Phone:330-936-7840
Mailing Address - Fax:
Practice Address - Street 1:3040 FOLSAM RD NW
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:OH
Practice Address - Zip Code:44615-9223
Practice Address - Country:US
Practice Address - Phone:330-936-7840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-08
Last Update Date:2021-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool