Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | OH4823 | OH |
Y | 103T00000X | Psychologist | OH4823 | OH |
N | 103G00000X | Clinical Psychologist | OH4823 | OH |
N | 103TC0700X | Clinical Psychologist | OH4823 | OH |
N | 103TH0100X | Health Service | OH4823 | OH |
NPI | 1528117645 |
---|---|
Provider Name | Kenneth E. Lloyd |
First Address | Chillicothe, OH 45601-8620 |
Second Address | Chillicothe, OH 45601-8620 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2007 |
Last Update Date | 23/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
11508467 | CAQH (01) | OH |