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Individual

GARY DOUGLAS LOVEJOY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
4500 S LAKESHORE DR STE 415, TEMPE, AZ 85282-7056
(480) 756-1669
(480) 756-2132
Mailing address
4500 S LAKESHORE DR STE 415, TEMPE, AZ 85282-7056
(480) 756-1669
(480) 756-2132

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
795
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AZ0134480
BLUE CROSS/BLUE SHIELD
AZ
Enumeration date
09/04/2006
Last updated
07/08/2007
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