Organization Name: | SUSAN LLOYD-MERRICK PSYD LLC |
NPI Number: | 1023337086 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUSAN MARIE LLOYD-MERRICK (PSYCHOLOGIST) |
Mailing Address: | 336 Crooked Tree Trl Deland |
State: | FL US |
Postal Code: | 327241371 |
Phone Number: | 2192185224 |
Fax Number: | |
NPI Enumeration Date: | 05/28/2010 |
NPI Last Update Date: | 06/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 20042376A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |