MEDICARE: DR. HOWARD A. LLOYD PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103G00000X	Clinical Neuropsychologist	PY00002390	WA
2	103TC0700X	Clinical Psychologist	PY00002390	WA

General Provider Information

NPI Number	:	1154408383
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HOWARD A. LLOYD PSY.D.

Provider Business Mailing Address
First Line	:	PO BOX 4152
Second Line	:
City	:	TUMWATER
State	:	WA
Zip	:	98501-0152
Country	:	US
Telephone Number	:	360-402-5523
Fax Number	:

Provider Business Practice Location Address
First Line	:	108 22ND AVE SW
Second Line	:	SUITE 14
City	:	OLYMPIA
State	:	WA
Zip	:	98501-2871
Country	:	US
Telephone Number	:	360-402-5523
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	09/11/2025

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