Individual
DR. JOHN T LLOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
777 N 5TH AVE, SEQUIM, WA 98382-3080
(360) 582-2644
(360) 582-2677
Mailing address
1117 TOWNSHIP LINE RD, PORT ANGELES, WA 98362-7438
(360) 681-6088
(360) 681-6088
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PY00000611
WA
103TC0700X
Clinical Psychologist
Primary
PY00000611
WA
103TR0400X
Rehabilitation Psychologist
PY00000611
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38066
WORKERS COMP OF WA STATE
WA
05
—
7257603
—
WA
Enumeration date
08/14/2007
Last updated
08/14/2007
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