Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | 0813000478 | VA |
NPI | 1063913952 |
---|---|
Provider Name | Mr. Lloyd English IV |
First Address | Norfolk, VA 23503-2840 |
Second Address | Norfolk, VA 23503-2840 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2018 |
Last Update Date | 26/02/2018 |