Provider Demographics
NPI:1144980145
Name:CAROLYN BLOYE PSYD LLC
Entity type:Organization
Organization Name:CAROLYN BLOYE PSYD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROLYM
Authorized Official - Middle Name:SUSAN
Authorized Official - Last Name:BLOYE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:831-265-3080
Mailing Address - Street 1:552 MEMORIAL DRIVE EXT STE 203
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29651-1135
Mailing Address - Country:US
Mailing Address - Phone:831-265-3080
Mailing Address - Fax:831-233-3966
Practice Address - Street 1:552 MEMORIAL DRIVE EXT STE 203
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29651-1135
Practice Address - Country:US
Practice Address - Phone:831-265-3080
Practice Address - Fax:831-233-3966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-19
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health