Organization Name: | LOVE INSTITUTE |
NPI Number: | 1447618194 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JONATHAN LOVE (SPEECH PATHOLOGIST) |
Mailing Address: | 17070 S Park Ave Suite E South Holland |
State: | IL US |
Postal Code: | 604733389 |
Phone Number: | 7732346367 |
Fax Number: | |
NPI Enumeration Date: | 02/09/2016 |
NPI Last Update Date: | 04/29/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | L14031808 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |