Doctor Name: | MR. JEFF MICHAEL LLOYD |
NPI Number: | 1003027996 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPT |
License Number: | PT 22741 |
Business Practice Address: | 2945 Mcmillan Ave Suite 136 San Luis Obispo, CA - 934016766 |
Business Phone Number: | 8057814286 |
Business Fax Number: | |
Mailing Address: | Po Box 13641, SAN LUIS OBISPO |
State: | CA |
Postal Code: | 934063641 |
Phone Number: | 8055414834 |
Fax Number: | |
NPI Enumeration Date: | 05/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | PT 22741 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |