1306961933 NPI number — DR. ANAHITA NAFICY LOVELACE PH.D.

Table of content: DR. ANAHITA NAFICY LOVELACE PH.D. (NPI 1306961933)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306961933 NPI number — DR. ANAHITA NAFICY LOVELACE PH.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LOVELACE
Provider First Name:
ANAHITA
Provider Middle Name:
NAFICY
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PH.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
NAFICY
Provider Other First Name:
ANAHITA
Provider Other Middle Name:
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PH.D.
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1306961933
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/09/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2831 MEDILL PL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOS ANGELES
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90064-4643
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
310-836-9150
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2831 MEDILL PL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90064-4643
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-836-9150
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/20/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  PSY8290 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: PSY8290 . This is a "CA BOARD OF PSYCHOLOGY LI" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".