Provider Demographics
NPI:1811444953
Name:LLOYD, SAMANTHA ROSE
Entity type:Individual
Prefix:MISS
First Name:SAMANTHA
Middle Name:ROSE
Last Name:LLOYD
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:SAMANTHA
Other - Middle Name:
Other - Last Name:LLOYD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:18 PALMER RD
Mailing Address - Street 2:#7
Mailing Address - City:MONSON
Mailing Address - State:MA
Mailing Address - Zip Code:01057
Mailing Address - Country:US
Mailing Address - Phone:413-668-4394
Mailing Address - Fax:
Practice Address - Street 1:18 PALMER RD
Practice Address - Street 2:
Practice Address - City:MONSON
Practice Address - State:MA
Practice Address - Zip Code:01057
Practice Address - Country:US
Practice Address - Phone:413-668-4394
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-07
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health