Provider Demographics
NPI:1255724910
Name:LLOYD, AMBER ANN (BC-HIS, ACA)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:ANN
Last Name:LLOYD
Suffix:
Gender:F
Credentials:BC-HIS, ACA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1817 S MAIN ST STE 7
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84115-7054
Mailing Address - Country:US
Mailing Address - Phone:801-485-5595
Mailing Address - Fax:801-467-1125
Practice Address - Street 1:1817 S MAIN ST STE 7
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84115-7054
Practice Address - Country:US
Practice Address - Phone:801-485-5595
Practice Address - Fax:801-467-1125
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-05
Last Update Date:2015-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT4988314-4601237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist