Provider Demographics
NPI:1821772047
Name:LAYNE, ALLISON OLEARY (AUD)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:OLEARY
Last Name:LAYNE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7251 UNIVERSITY BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-8659
Mailing Address - Country:US
Mailing Address - Phone:407-677-0099
Mailing Address - Fax:407-677-5055
Practice Address - Street 1:1781 PARK CENTER DR STE 210
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-6254
Practice Address - Country:US
Practice Address - Phone:407-677-0099
Practice Address - Fax:407-677-5505
Is Sole Proprietor?:No
Enumeration Date:2023-06-09
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY2723231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist