Provider Demographics
NPI:1508802901
Name:LAYTON, BRYAN J (AUD)
Entity Type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:J
Last Name:LAYTON
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 S 100 E
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84014-2269
Mailing Address - Country:US
Mailing Address - Phone:801-296-5825
Mailing Address - Fax:
Practice Address - Street 1:230 S 500 E
Practice Address - Street 2:SUITE 150
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84102-2015
Practice Address - Country:US
Practice Address - Phone:801-595-1700
Practice Address - Fax:801-539-8900
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT271700-4101231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist