Doctor Name: | DR. DEBBIE D. LOVE |
NPI Number: | 1104976497 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | 2003021378 |
Business Practice Address: | 1191 Highway Kk Ste 101 Osage Beach, MO - 650653510 |
Business Phone Number: | 5733483010 |
Business Fax Number: | 5733481858 |
Mailing Address: | 1191 Highway Kk Ste 101, OSAGE BEACH |
State: | MO |
Postal Code: | 650653510 |
Phone Number: | 5733483010 |
Fax Number: | 5733481858 |
NPI Enumeration Date: | 01/11/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2003021378 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |