Provider Demographics
NPI:1770819815
Name:CHRISTINE B. LLOYD, PH.D.
Entity Type:Organization
Organization Name:CHRISTINE B. LLOYD, PH.D.
Other - Org Name:NEUROPSYCHOLOGY CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:BRYANA
Authorized Official - Last Name:LLOYD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:256-457-4438
Mailing Address - Street 1:1428 WEATHERLY RD SE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35803-1181
Mailing Address - Country:US
Mailing Address - Phone:253-457-4438
Mailing Address - Fax:256-883-7833
Practice Address - Street 1:1428 WEATHERLY RD SE
Practice Address - Street 2:SUITE 102
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35803-1181
Practice Address - Country:US
Practice Address - Phone:253-457-4438
Practice Address - Fax:256-883-7833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-24
Last Update Date:2009-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1402103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051558008Medicare PIN