Provider Demographics
NPI:1699248906
Name:LOVETT, JOSEPH (MA)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:LOVETT
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1124 N CHINOWTH ST STE 101
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-7896
Mailing Address - Country:US
Mailing Address - Phone:559-635-4780
Mailing Address - Fax:559-365-4790
Practice Address - Street 1:3424 W PACKWOOD AVE
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277-5000
Practice Address - Country:US
Practice Address - Phone:559-635-4780
Practice Address - Fax:559-635-4790
Is Sole Proprietor?:No
Enumeration Date:2019-01-09
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health