Provider Demographics
NPI:1528042371
Name:LLOYD, NANCY D (PHD)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:D
Last Name:LLOYD
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:D
Other - Last Name:LLOYD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:4905 HILL PL
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-1000
Mailing Address - Country:US
Mailing Address - Phone:919-848-1969
Mailing Address - Fax:919-851-9161
Practice Address - Street 1:4609 WESTERN BLVD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27606-1815
Practice Address - Country:US
Practice Address - Phone:919-848-1969
Practice Address - Fax:919-851-9161
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-05
Last Update Date:2010-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1115103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical