Provider Demographics
NPI:1831235688
Name:SERR, LAYNE (MSW)
Entity type:Individual
Prefix:
First Name:LAYNE
Middle Name:
Last Name:SERR
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:622 PEND OREILLE LOOP
Mailing Address - Street 2:
Mailing Address - City:COLVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:99114-9701
Mailing Address - Country:US
Mailing Address - Phone:509-684-8311
Mailing Address - Fax:
Practice Address - Street 1:622 PEND OREILLE LOOP
Practice Address - Street 2:
Practice Address - City:COLVILLE
Practice Address - State:WA
Practice Address - Zip Code:99114-9701
Practice Address - Country:US
Practice Address - Phone:509-684-8311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALMH00004674101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health