Provider Demographics
NPI:1245781434
Name:LAYDEN & ASSOCIATES, LLC
Entity Type:Organization
Organization Name:LAYDEN & ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:LAYDEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:305-731-3034
Mailing Address - Street 1:10042 SW 222ND ST
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33190-1563
Mailing Address - Country:US
Mailing Address - Phone:305-731-3034
Mailing Address - Fax:305-402-2489
Practice Address - Street 1:10042 SW 222ND ST
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33190-1563
Practice Address - Country:US
Practice Address - Phone:305-731-3034
Practice Address - Fax:305-402-2489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-22
Last Update Date:2016-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY4494103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL003041700Medicaid
FL003041700Medicaid