Provider Demographics
NPI:1740797232
Name:LAYTON, MEGAN ALEAH
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:ALEAH
Last Name:LAYTON
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 1:8563 HAVANA HWY
Mailing Address - Street 2:
Mailing Address - City:HAVANA
Mailing Address - State:FL
Mailing Address - Zip Code:32333-4266
Mailing Address - Country:US
Mailing Address - Phone:850-766-8381
Mailing Address - Fax:
Practice Address - Street 1:8563 HAVANA HWY
Practice Address - Street 2:
Practice Address - City:HAVANA
Practice Address - State:FL
Practice Address - Zip Code:32333-4266
Practice Address - Country:US
Practice Address - Phone:850-766-8381
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-05
Last Update Date:2018-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ8400235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist