| Candace V. Love., Phd, Pc | |
|
4263 Clark St Glenwood Springs CO 81601-4591 | |
| (847) 767-3540 | |
| Not Available |
| Full Name | Candace V. Love., Phd, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 4263 Clark St, Glenwood Springs, Colorado |
| Authorized Official Name and Position | Candace Vivian Love (PRESIDENT) |
| Authorized Official Contact | 8477673540 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Candace V. Love., Phd, Pc 4263 Clark St Glenwood Springs CO 81601-4591 Ph: (847) 767-3540 | Candace V. Love., Phd, Pc 4263 Clark St Glenwood Springs CO 81601-4591 Ph: (847) 767-3540 |
| NPI Number | 1073658647 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 09/22/2023 |
| Certification Date | 09/22/2023 |
| Medicare PECOS PAC ID | 2860598869 |
|---|---|
| Medicare Enrollment ID | O20070508000667 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073658647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Candace Vivian Love |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972657724 PECOS PAC ID: 3779689773 Enrollment ID: I20070508000662 |
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