Provider Demographics
NPI:1528452125
Name:JAMES H CLOYD, PHD, LLC
Entity type:Organization
Organization Name:JAMES H CLOYD, PHD, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:HENRY
Authorized Official - Last Name:CLOYD
Authorized Official - Suffix:JR
Authorized Official - Credentials:PHD
Authorized Official - Phone:801-995-2324
Mailing Address - Street 1:758 CANTERBURY LN
Mailing Address - Street 2:
Mailing Address - City:ALPINE
Mailing Address - State:UT
Mailing Address - Zip Code:84004-1255
Mailing Address - Country:US
Mailing Address - Phone:801-995-2324
Mailing Address - Fax:
Practice Address - Street 1:758 CANTERBURY LN
Practice Address - Street 2:
Practice Address - City:ALPINE
Practice Address - State:UT
Practice Address - Zip Code:84004-1255
Practice Address - Country:US
Practice Address - Phone:801-995-2324
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-23
Last Update Date:2015-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6021200-2501103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty