Provider Demographics
NPI:1679713903
Name:LOVEJOY, REBECCA (PSYD)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:
Last Name:LOVEJOY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 85
Mailing Address - Street 2:
Mailing Address - City:LYME
Mailing Address - State:NH
Mailing Address - Zip Code:03768-0085
Mailing Address - Country:US
Mailing Address - Phone:603-795-2614
Mailing Address - Fax:
Practice Address - Street 1:44 BRITTON LANE
Practice Address - Street 2:
Practice Address - City:LYME
Practice Address - State:NH
Practice Address - Zip Code:03768-0085
Practice Address - Country:US
Practice Address - Phone:603-795-2614
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-26
Last Update Date:2009-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8115103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical