Healthcare Provider Details

I. General information

NPI: 1467383554
Provider Name (Legal Business Name): JENNIFER GAIL LOVE CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

432 4TH AVE SW
HICKORY NC
28602-2805
US

IV. Provider business mailing address

2435 29TH AVENUE CT NE
HICKORY NC
28601-7241
US

V. Phone/Fax

Practice location:
  • Phone: 828-322-2855
  • Fax:
Mailing address:
  • Phone: 828-310-6526
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number4948
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: