Provider Demographics
NPI:1275050452
Name:LAYSER, RYLIE JEANNE (LCSW)
Entity Type:Individual
Prefix:
First Name:RYLIE
Middle Name:JEANNE
Last Name:LAYSER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:RYLIE
Other - Middle Name:JEANNE
Other - Last Name:LAYSER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1374 OLD DARBY RD
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:MT
Mailing Address - Zip Code:59840-9743
Mailing Address - Country:US
Mailing Address - Phone:435-557-1310
Mailing Address - Fax:
Practice Address - Street 1:1986 N 1ST ST STE D
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:MT
Practice Address - Zip Code:59840-3217
Practice Address - Country:US
Practice Address - Phone:406-361-6078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-28
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT647091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical