MEDICARE: DR. ALAN H LOVINS PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	000642	CT

General Provider Information

NPI Number	:	1104933001
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALAN H LOVINS PH.D.

Provider Business Mailing Address
First Line	:	357 WHITNEY AVE
Second Line	:
City	:	NEW HAVEN
State	:	CT
Zip	:	06511-2364
Country	:	US
Telephone Number	:	203-787-3367
Fax Number	:	203-624-7599

Provider Business Practice Location Address
First Line	:	357 WHITNEY AVE
Second Line	:
City	:	NEW HAVEN
State	:	CT
Zip	:	06511-2364
Country	:	US
Telephone Number	:	203-787-3367
Fax Number	:	203-624-7599

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2006
Last Update Date	:	07/09/2007

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