Provider Demographics
NPI:1760611131
Name:LLOYD, KRYSTAL A (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:KRYSTAL
Middle Name:A
Last Name:LLOYD
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:KRYSTAL
Other - Middle Name:A
Other - Last Name:CRUZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC-SLP
Mailing Address - Street 1:2575 ROUTE 6 STE 2
Mailing Address - Street 2:
Mailing Address - City:HAWLEY
Mailing Address - State:PA
Mailing Address - Zip Code:18428-7066
Mailing Address - Country:US
Mailing Address - Phone:570-228-2248
Mailing Address - Fax:570-227-1914
Practice Address - Street 1:2575 ROUTE 6 STE 2
Practice Address - Street 2:
Practice Address - City:HAWLEY
Practice Address - State:PA
Practice Address - Zip Code:18428-7066
Practice Address - Country:US
Practice Address - Phone:570-228-2248
Practice Address - Fax:570-227-1914
Is Sole Proprietor?:No
Enumeration Date:2009-07-07
Last Update Date:2022-09-13
Deactivation Date:2022-08-11
Deactivation Code:
Reactivation Date:2022-09-06
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist