Provider Demographics
NPI:1497038277
Name:LAYTON, CATHERINE MARGUERITE (LMSW)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:MARGUERITE
Last Name:LAYTON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1122 ELLIS HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-2945
Mailing Address - Country:US
Mailing Address - Phone:607-256-5135
Mailing Address - Fax:
Practice Address - Street 1:2439 SLATERVILLE RD
Practice Address - Street 2:
Practice Address - City:SLATERVILLE SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:14881-9402
Practice Address - Country:US
Practice Address - Phone:607-882-9866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-27
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0507931041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool