Provider Demographics
NPI:1013023225
Name:LAYTON, RANAE LYNN (AUD)
Entity Type:Individual
Prefix:
First Name:RANAE
Middle Name:LYNN
Last Name:LAYTON
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:RANAE
Other - Middle Name:L
Other - Last Name:LAYTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:AUD
Mailing Address - Street 1:3845 W 4700 S
Mailing Address - Street 2:
Mailing Address - City:TAYLORSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84118-3454
Mailing Address - Country:US
Mailing Address - Phone:801-840-4360
Mailing Address - Fax:
Practice Address - Street 1:3845 W 4700 S
Practice Address - Street 2:
Practice Address - City:TAYLORSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84118-3454
Practice Address - Country:US
Practice Address - Phone:801-840-4360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT48879024101231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist