Love, Debbie D.

Love, Debbie D. is an individual health care provider with primary practice located at 4430 Missouri Ave , Fort Leonard Wood MO 65473-9098. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Love, Debbie D. can be contacted via phone (573) 596-7726.

Contact Information

Primary practice address
4430 Missouri Ave Fort Leonard Wood MO 65473-9098
Phone: (573) 596-7726
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2006034112 Missouri

Profile Details

NPI number 1104976497
LBN Legal business name Love, Debbie D.
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Feb 28th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104976497 NPPES
Missouri Other 11560274 CAQH PROVIDER ID
Missouri MEDICAID 499364628 CAQH PROVIDER ID

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