Provider Demographics
NPI:1437368123
Name:LLOYD, PAULINE M (PSYD, MP)
Entity Type:Individual
Prefix:DR
First Name:PAULINE
Middle Name:M
Last Name:LLOYD
Suffix:
Gender:F
Credentials:PSYD, MP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:VAMC 3200 VINE ST
Mailing Address - Street 2:MHCL 116A
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45220-2213
Mailing Address - Country:US
Mailing Address - Phone:513-475-6381
Mailing Address - Fax:
Practice Address - Street 1:VAMC 3200 VINE ST
Practice Address - Street 2:MHCL 116A
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45220-2213
Practice Address - Country:US
Practice Address - Phone:513-475-6381
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1172103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical