Doctor Name: | DR. JOANNA T. LOVE |
NPI Number: | 1003970815 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | #0347 |
Business Practice Address: | 1302 Covington Dr Tallahassee, FL - 323122505 |
Business Phone Number: | 8502282490 |
Business Fax Number: | |
Mailing Address: | 1302 Covington Dr, TALLAHASSEE |
State: | FL |
Postal Code: | 323122505 |
Phone Number: | 8502282490 |
Fax Number: | |
NPI Enumeration Date: | 12/19/2006 |
NPI Last Update Date: | 07/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | #0347 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |