Individual
ANNA LOVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7561 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4131
(219) 881-8400
Mailing address
11008 CONSTANTIA CV, ROANOKE, IN 46783-8910
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
235Z00000X
Speech-Language Pathologist
46002235A
IN
Other
Enumeration date
09/15/2011
Last updated
02/28/2025
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