Provider Demographics
NPI:1467044099
Name:LAYTON, DEVIN M (EDD)
Entity Type:Individual
Prefix:DR
First Name:DEVIN
Middle Name:M
Last Name:LAYTON
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:MISS
Other - First Name:DEVIN
Other - Middle Name:
Other - Last Name:WATSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:EDD
Mailing Address - Street 1:216 HARWICKE RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19064-3102
Mailing Address - Country:US
Mailing Address - Phone:610-742-1931
Mailing Address - Fax:
Practice Address - Street 1:1112 MACDADE BLVD
Practice Address - Street 2:
Practice Address - City:WOODLYN
Practice Address - State:PA
Practice Address - Zip Code:19094-1322
Practice Address - Country:US
Practice Address - Phone:215-821-6059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-04
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor