Provider Demographics
NPI:1134491673
Name:LOVEN, FAITH CHRISTINE (PHD)
Entity Type:Individual
Prefix:PROF
First Name:FAITH
Middle Name:CHRISTINE
Last Name:LOVEN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 W COLLEGE ST
Mailing Address - Street 2:183 CHESTER PARK
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55812-1106
Mailing Address - Country:US
Mailing Address - Phone:218-726-8204
Mailing Address - Fax:
Practice Address - Street 1:31 W COLLEGE ST
Practice Address - Street 2:183 CHESTER PARK
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55812-1198
Practice Address - Country:US
Practice Address - Phone:218-726-8204
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-30
Last Update Date:2012-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5445231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
00899203OtherAMERICAN SPEECH LANGUAGE HEARING ASSOCIATION
MN5445OtherDEPARTMENT OF HEALTH