Provider Demographics
NPI:1295442903
Name:LOVE, RONALD JR (PSYD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:
Last Name:LOVE
Suffix:JR
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 WARFIELD DR APT 4115
Mailing Address - Street 2:
Mailing Address - City:LANDOVER
Mailing Address - State:MD
Mailing Address - Zip Code:20785-4632
Mailing Address - Country:US
Mailing Address - Phone:973-220-4111
Mailing Address - Fax:
Practice Address - Street 1:440 WARFIELD DR APT 4115
Practice Address - Street 2:
Practice Address - City:LANDOVER
Practice Address - State:MD
Practice Address - Zip Code:20785-4632
Practice Address - Country:US
Practice Address - Phone:973-220-4111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-02
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD06956103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist