Provider Demographics
NPI:1053938290
Name:LOVE, JANAT NICOLE (MS CF-SLP)
Entity type:Individual
Prefix:MISS
First Name:JANAT
Middle Name:NICOLE
Last Name:LOVE
Suffix:
Gender:F
Credentials:MS CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1663 WISHWOOD CT APT 3
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-8510
Mailing Address - Country:US
Mailing Address - Phone:636-675-7238
Mailing Address - Fax:
Practice Address - Street 1:1118 S 7TH ST
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63104-3624
Practice Address - Country:US
Practice Address - Phone:314-345-5651
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-04
Last Update Date:2020-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist