Healthcare Provider Details

I. General information

NPI: 1982964110
Provider Name (Legal Business Name): LOVON KRISTINE SPRINGER MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2012
Last Update Date: 05/22/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 MAIN ST
TAUNTON MA
02780-2778
US

IV. Provider business mailing address

70 MAIN ST
TAUNTON MA
02780-2778
US

V. Phone/Fax

Practice location:
  • Phone: 508-821-7777
  • Fax: 508-828-9017
Mailing address:
  • Phone: 508-821-7777
  • Fax: 508-828-9017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: