Healthcare Provider Details

I. General information

NPI: 1053061960
Provider Name (Legal Business Name): LOVETOLEARNMD, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2022
Last Update Date: 03/24/2022
Certification Date: 03/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1204 ADGATE CT
WOODBINE MD
21797-8623
US

IV. Provider business mailing address

1204 ADGATE CT
WOODBINE MD
21797-8623
US

V. Phone/Fax

Practice location:
  • Phone: 301-785-5334
  • Fax:
Mailing address:
  • Phone: 301-785-5334
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. MACARENA FERNANDEZ
Title or Position: OWNER, SLP/BCBA
Credential: MA CCC-SLP/BCBA
Phone: 301-785-5334