Doctor Name: | ANNA LOVELL |
NPI Number: | 1659653608 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 46002235A |
Business Practice Address: | 801 Huntington Ave Warren, IN - 467929402 |
Business Phone Number: | 2603752201 |
Business Fax Number: | |
Mailing Address: | 805 S 21st Ave, MAYWOOD |
State: | IL |
Postal Code: | 601531713 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/15/2011 |
NPI Last Update Date: | 09/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 46002235A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |