| Leslie C. Love, Ph.d., Pc | |
|
110 E Superior St Alma MI 48801-1817 | |
| (989) 466-9200 | |
| (989) 466-9200 |
| Full Name | Leslie C. Love, Ph.d., Pc |
|---|---|
| Speciality | Psychologist |
| Location | 110 E Superior St, Alma, Michigan |
| Authorized Official Name and Position | Leslie Carol Love (OWNER) |
| Authorized Official Contact | 9894669200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie C. Love, Ph.d., Pc 110 E Superior St Alma MI 48801-1817 Ph: (989) 466-9200 | Leslie C. Love, Ph.d., Pc 110 E Superior St Alma MI 48801-1817 Ph: (989) 466-9200 |
| NPI Number | 1760701270 |
|---|---|
| Provider Enumeration Date | 05/24/2010 |
| Last Update Date | 09/18/2023 |
| Certification Date | 09/18/2023 |
| Medicare PECOS PAC ID | 8729236849 |
|---|---|
| Medicare Enrollment ID | O20120914000596 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760701270 | NPI | - | NPPES |
| 680B945060 | Other | MI | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Leslie C Love |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669493052 PECOS PAC ID: 0345498465 Enrollment ID: I20120914000620 |
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