Provider Demographics
NPI:1740732981
Name:LLOYD, HOWARD (PHD)
Entity type:Individual
Prefix:
First Name:HOWARD
Middle Name:
Last Name:LLOYD
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6741 N GRAND BROOK CIR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225-4160
Mailing Address - Country:US
Mailing Address - Phone:301-346-7281
Mailing Address - Fax:
Practice Address - Street 1:907 FLOYD AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23284-9026
Practice Address - Country:US
Practice Address - Phone:804-828-5560
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-03
Last Update Date:2016-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810005460103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical