Provider Demographics
NPI:1710626437
Name:WEIER, LAYCEE
Entity Type:Individual
Prefix:
First Name:LAYCEE
Middle Name:
Last Name:WEIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 FAIRWOOD CT
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-9674
Mailing Address - Country:US
Mailing Address - Phone:509-308-8705
Mailing Address - Fax:
Practice Address - Street 1:1313 N YOUNG ST
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-7662
Practice Address - Country:US
Practice Address - Phone:509-961-9834
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-01
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical