Provider Demographics
NPI:1770617730
Name:LOVETTE, CATHLEEN M (MFT-I, PSYD)
Entity type:Individual
Prefix:DR
First Name:CATHLEEN
Middle Name:M
Last Name:LOVETTE
Suffix:
Gender:F
Credentials:MFT-I, PSYD
Other - Prefix:
Other - First Name:CATHLEEN
Other - Middle Name:M
Other - Last Name:GARRETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MFT-I, PSYD
Mailing Address - Street 1:721 S GRAMERCY PL
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90005-3166
Mailing Address - Country:US
Mailing Address - Phone:213-709-2186
Mailing Address - Fax:
Practice Address - Street 1:8939 S SEPULVEDA BLVD
Practice Address - Street 2:SUITE 460
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90045-3631
Practice Address - Country:US
Practice Address - Phone:562-207-9660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF41171101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHFLF090OtherSTAFF CODE