Provider Demographics
NPI:1245446848
Name:LOVE, JOYCE GAIL (PHD)
Entity type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:GAIL
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 1:11185 SUNSET RIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33473-4873
Mailing Address - Country:US
Mailing Address - Phone:561-951-9393
Mailing Address - Fax:561-752-0557
Practice Address - Street 1:11185 SUNSET RIDGE CIR
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33473-4873
Practice Address - Country:US
Practice Address - Phone:561-951-9393
Practice Address - Fax:561-752-0557
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2009-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSS-0000485103TS0200X
FLMT1461106H00000X
NY103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist