Provider Demographics
NPI:1518291889
Name:LLOYD, BETTE (BACHELOR DEGREE)
Entity Type:Individual
Prefix:MS
First Name:BETTE
Middle Name:
Last Name:LLOYD
Suffix:
Gender:F
Credentials:BACHELOR DEGREE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2509 WEBSTER AVE
Mailing Address - Street 2:2177 CENTRE AVENUE CONFERENCE ROOM
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-4219
Mailing Address - Country:US
Mailing Address - Phone:412-621-2636
Mailing Address - Fax:412-552-7052
Practice Address - Street 1:2509 WEBSTER AVE
Practice Address - Street 2:2177 CENTRE AVENUE CONFERENCE ROOM
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-4219
Practice Address - Country:US
Practice Address - Phone:412-621-2636
Practice Address - Fax:412-552-7052
Is Sole Proprietor?:No
Enumeration Date:2009-09-18
Last Update Date:2009-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABACHELORS DEGREE171M00000X
PABACHELOR DEGREE101Y00000X, 103TM1800X, 171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102130983002OtherDEPARTMENT OF PUBLIC WELFARE