Individual
SUSAN LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 NORTH STREET EAST, HARVEY, ND 58341-1027
(701) 324-4811
Mailing address
1019 18 1/2 AVE SW, MINOT, ND 58701-6134
(701) 839-6088
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1104
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019015
—
ND
Enumeration date
02/12/2010
Last updated
02/16/2010
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