Provider Demographics
NPI:1851627921
Name:LAYTON LEWIS, ANNETTE (LCPC)
Entity Type:Individual
Prefix:
First Name:ANNETTE
Middle Name:
Last Name:LAYTON LEWIS
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7522 PLAYER BLVD
Mailing Address - Street 2:
Mailing Address - City:SEVEN VALLEYS
Mailing Address - State:PA
Mailing Address - Zip Code:17360-9196
Mailing Address - Country:US
Mailing Address - Phone:443-742-9933
Mailing Address - Fax:717-428-0451
Practice Address - Street 1:7522 PLAYER BLVD
Practice Address - Street 2:
Practice Address - City:SEVEN VALLEYS
Practice Address - State:PA
Practice Address - Zip Code:17360-9196
Practice Address - Country:US
Practice Address - Phone:443-742-9933
Practice Address - Fax:717-428-0451
Is Sole Proprietor?:No
Enumeration Date:2009-10-26
Last Update Date:2012-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC2389101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional