1952847451 NPI number — MS. AMBER NICOLE LLOYD BA PSYCHOLOGY

Table of content: MS. AMBER NICOLE LLOYD BA PSYCHOLOGY (NPI 1952847451)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952847451 NPI number — MS. AMBER NICOLE LLOYD BA PSYCHOLOGY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LLOYD
Provider First Name:
AMBER
Provider Middle Name:
NICOLE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
BA PSYCHOLOGY
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1952847451
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/09/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5323 KADENA GARDEN CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORTH LAS VEGAS
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89031-6604
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
702-758-1029
Provider Business Mailing Address Fax Number:
702-365-0602

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6655 W SAHARA AVE
Provider Second Line Business Practice Location Address:
STE D110
Provider Business Practice Location Address City Name:
LAS VEGAS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89146-0842
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-365-0600
Provider Business Practice Location Address Fax Number:
702-365-0602
Provider Enumeration Date:
01/09/2017

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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