LESLIE C. LOVE, PH.D., PC (NPI# 1760701270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760701270 |
Entity Type | Organization |
Organization Name | LESLIE C. LOVE, PH.D., PC |
Practice Address |
107 W Superior St Suite 21 Alma MI 48801-1672 |
Practice Telephone | 9894669200 |
Practice Fax Number | 9894669200 |
Mailing Telephone | 9894669200 |
Mailing Fax Number | 9894669200 |
Enumeration Date | 2010-05-24 |
Last Update Date | 2010-05-24 |
Authorized Official Name | DR. LESLIE CAROL LOVE (OWNER) |
Authorized Official Telephone | 9894669200 |
Authorized Official Credential | PH.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301009399 | MI | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | BLUE CROSS BLUE SHIELD | 680B945060 | 01 |
Street Address |
107 W SUPERIOR ST SUITE 21 |
City | ALMA |
State | MI |
Zip Code | 48801-1672 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407365851 | Lisa Diane Ackerman | Social Worker | 608 Wright Ave., Alma, MI 48801 | 2017-09-28 |
1679082028 | Amelia Hope Kasper | Case Manager/Care Coordinator | 608 Wright Avenue, Alma, MI 48801 | 2017-09-28 |
1245687516 | Mickaela Perez | Technician, Other | 623 W Warwick Dr Ste 2, Alma, MI 48801 | 2016-05-17 |
1639443005 | Bobbi L Hall | Pharmacist | 2805 W Cheesman Rd, Alma, MI 48801 | 2012-03-02 |
1588998652 | Jonathan Michael Daniels | Physician Assistant | 311 E. Warwick Dr., Alma, MI 48801 | 2009-09-23 |
1659593937 | Foot Care Inc | Durable Medical Equipment & Medical Supplies | 115 E Superior Street, Alma, MI 48801 | 2007-05-03 |
1689716193 | Sara A Wassenaar | Dentist | 226 N State Street, Alma, MI 48801 | 2007-02-12 |
1760574883 | Midmichigan Medical Center- Gratiot | Internal Medicine | 300 E. Warwick Drive, Alma, MI 48801 | 2006-09-28 |
1437250305 | Michael Robert St Louis | Physician Assistant | 300 South Warwick Drive, Alma, MI 48801 | 2006-09-25 |
1215032099 | Talal Omar Samhan | Urology | 1465 Mary Court, Alma, MI 48801 | 2006-09-14 |
Find all providers in zip 48801 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043793276 | Alesha Ruth Hall | Psychologist | 724 E Superior St, Alma, MI 48801 | 2018-09-13 |
1396833208 | Sermic Psychological and Counseling Associates | Psychologist | 116 W Superior St, Suite 4, Alma, MI 48801-1650 | 2006-10-10 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.