Healthcare Provider Details

I. General information

NPI: 1245446848
Provider Name (Legal Business Name): JOYCE GAIL LOVE PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 02/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11185 SUNSET RIDGE CIR
BOYNTON BEACH FL
33473-4873
US

IV. Provider business mailing address

11185 SUNSET RIDGE CIR
BOYNTON BEACH FL
33473-4873
US

V. Phone/Fax

Practice location:
  • Phone: 561-951-9393
  • Fax: 561-752-0557
Mailing address:
  • Phone: 561-951-9393
  • Fax: 561-752-0557

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberSS-0000485
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMT1461
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: