Individual
MS. ELLEN J LOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
96 5TH AVE, SUITE 1K, NEW YORK, NY 10011-7605
(917) 446-7112
Mailing address
515 E 89TH STREET, 4K, NEW YORK, NY 10128
(212) 860-3949
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
R0540831
NY
Other
Enumeration date
06/10/2006
Last updated
03/12/2010
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