Provider Demographics
NPI:1275186694
Name:LOVE, PETER FRANCIS (PHD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:FRANCIS
Last Name:LOVE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:167 E HIGH ST
Mailing Address - Street 2:
Mailing Address - City:EAST HAMPTON
Mailing Address - State:CT
Mailing Address - Zip Code:06424-2008
Mailing Address - Country:US
Mailing Address - Phone:860-305-6375
Mailing Address - Fax:860-267-0644
Practice Address - Street 1:167 E HIGH ST
Practice Address - Street 2:
Practice Address - City:EAST HAMPTON
Practice Address - State:CT
Practice Address - Zip Code:06424-2008
Practice Address - Country:US
Practice Address - Phone:860-305-6375
Practice Address - Fax:860-267-0644
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-24
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist