Provider Demographics
NPI:1710207568
Name:LOVE, SARAH K (PHD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:K
Last Name:LOVE
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 1:3415 OLANDWOOD COURT, SUITE 202
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832
Mailing Address - Country:US
Mailing Address - Phone:301-456-5589
Mailing Address - Fax:301-309-3783
Practice Address - Street 1:3415 OLANDWOOD COURT, SUITE 202
Practice Address - Street 2:
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832
Practice Address - Country:US
Practice Address - Phone:301-456-5589
Practice Address - Fax:301-294-7569
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-03
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05397103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD391164Medicare PIN