Individual
MRS. KATHLEEN ANN LOVELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
376 E APPLE AVE, MUSKEGON, MI 49442-3466
(231) 724-1111
(231) 724-1300
Mailing address
2060 BECKER RD, MUSKEGON, MI 49445-1708
(231) 744-8737
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301009117
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KL009117
BCBS PIN
MI
Enumeration date
02/28/2007
Last updated
07/08/2007
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