Healthcare Provider Details

I. General information

NPI: 1952847451
Provider Name (Legal Business Name): AMBER NICOLE LLOYD BA PSYCHOLOGY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/09/2017
Last Update Date: 01/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6655 W SAHARA AVE STE D110
LAS VEGAS NV
89146-0842
US

IV. Provider business mailing address

5323 KADENA GARDEN CT
NORTH LAS VEGAS NV
89031-6604
US

V. Phone/Fax

Practice location:
  • Phone: 702-365-0600
  • Fax: 702-365-0602
Mailing address:
  • Phone: 702-758-1029
  • Fax: 702-365-0602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: