Provider Demographics
NPI:1053061960
Name:LOVETOLEARNMD, LLC
Entity Type:Organization
Organization Name:LOVETOLEARNMD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, SLP/BCBA
Authorized Official - Prefix:MRS
Authorized Official - First Name:MACARENA
Authorized Official - Middle Name:
Authorized Official - Last Name:FERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCC-SLP/BCBA
Authorized Official - Phone:301-785-5334
Mailing Address - Street 1:1204 ADGATE CT
Mailing Address - Street 2:
Mailing Address - City:WOODBINE
Mailing Address - State:MD
Mailing Address - Zip Code:21797-8623
Mailing Address - Country:US
Mailing Address - Phone:301-785-5334
Mailing Address - Fax:
Practice Address - Street 1:1204 ADGATE CT
Practice Address - Street 2:
Practice Address - City:WOODBINE
Practice Address - State:MD
Practice Address - Zip Code:21797-8623
Practice Address - Country:US
Practice Address - Phone:301-785-5334
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-24
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No252Y00000XAgenciesEarly Intervention Provider AgencyGroup - Multi-Specialty