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Individual

KELLY BREY LOVE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
2269 VERMILLION CREEK DR, LOVELAND, CO 80538-8614
(402) 450-4882
Mailing address
2269 VERMILLION CREEK DR, LOVELAND, CO 80538-8614
(402) 450-4882

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6001
CO
103T00000X
Psychologist
702
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47-080115226
NE
Enumeration date
09/04/2008
Last updated
09/06/2023
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