Healthcare Provider Details

I. General information

NPI: 1760701270
Provider Name (Legal Business Name): LESLIE C. LOVE, PH.D., PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2010
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 E SUPERIOR ST
ALMA MI
48801-1832
US

IV. Provider business mailing address

311 E SUPERIOR ST
ALMA MI
48801-1832
US

V. Phone/Fax

Practice location:
  • Phone: 989-466-9200
  • Fax:
Mailing address:
  • Phone: 989-466-9200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. LESLIE CAROL LOVE
Title or Position: OWNER
Credential: PH.D.
Phone: 989-466-9200