Provider Demographics
NPI:1588933550
Name:LOVE, BRITTANY MARIE (PSYD)
Entity type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:MARIE
Last Name:LOVE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:MRS
Other - First Name:BRITTANY
Other - Middle Name:MARIE
Other - Last Name:COSTELLO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
Mailing Address - Street 1:2042 CORAL HEIGHTS CT
Mailing Address - Street 2:
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33308
Mailing Address - Country:US
Mailing Address - Phone:954-551-8460
Mailing Address - Fax:
Practice Address - Street 1:2042 CORAL HEIGHTS CT
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33308
Practice Address - Country:US
Practice Address - Phone:954-551-8460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-21
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY10559103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical