Provider Demographics
NPI:1205072907
Name:LAYDEN, PAUL GERARD (PHD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:GERARD
Last Name:LAYDEN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9408 SW 87TH AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2416
Mailing Address - Country:US
Mailing Address - Phone:786-472-2400
Mailing Address - Fax:786-220-1565
Practice Address - Street 1:9408 SW 87TH AVE STE 102
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2416
Practice Address - Country:US
Practice Address - Phone:786-472-2400
Practice Address - Fax:786-220-1565
Is Sole Proprietor?:No
Enumeration Date:2008-12-30
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY11679103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist