Provider Demographics
NPI:1821831876
Name:LAYMAN, GREG ALLEN I
Entity type:Individual
Prefix:
First Name:GREG
Middle Name:ALLEN
Last Name:LAYMAN
Suffix:I
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1713 VIRGINIA ST
Mailing Address - Street 2:
Mailing Address - City:MOUNDSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:26041-1751
Mailing Address - Country:US
Mailing Address - Phone:304-650-0161
Mailing Address - Fax:
Practice Address - Street 1:1713 VIRGINIA ST
Practice Address - Street 2:
Practice Address - City:MOUNDSVILLE
Practice Address - State:WV
Practice Address - Zip Code:26041-1751
Practice Address - Country:US
Practice Address - Phone:304-650-0161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-17
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor