Provider Demographics
NPI:1376360396
Name:FLOYD, DYLAN CADE (MS)
Entity type:Individual
Prefix:MISS
First Name:DYLAN
Middle Name:CADE
Last Name:FLOYD
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6442 PLATT AVE # 369
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-3216
Mailing Address - Country:US
Mailing Address - Phone:818-800-1147
Mailing Address - Fax:
Practice Address - Street 1:6442 PLATT AVE # 369
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-3216
Practice Address - Country:US
Practice Address - Phone:818-800-1147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-21
Last Update Date:2024-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic