Doctor Name: | JANICE A LOVE |
NPI Number: | 1053798009 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | |
Business Practice Address: | 14780 W. Mountain View Blvd. Suite 110 Surprise, AZ - 853747280 |
Business Phone Number: | 6233747774 |
Business Fax Number: | |
Mailing Address: | 2145 E. Broadmor Dr., TEMPE |
State: | AZ |
Postal Code: | 85282 |
Phone Number: | 4805607090 |
Fax Number: | |
NPI Enumeration Date: | 04/29/2015 |
NPI Last Update Date: | 04/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |