Provider Demographics
NPI:1952777419
Name:KAILEH, LAYAN MARGARET
Entity Type:Individual
Prefix:MISS
First Name:LAYAN
Middle Name:MARGARET
Last Name:KAILEH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2409 MERCED ST STE 106
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93721-1829
Mailing Address - Country:US
Mailing Address - Phone:559-981-2795
Mailing Address - Fax:559-981-2965
Practice Address - Street 1:2409 MERCED ST STE 106
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93721-1829
Practice Address - Country:US
Practice Address - Phone:559-981-2795
Practice Address - Fax:559-981-2965
Is Sole Proprietor?:No
Enumeration Date:2015-08-19
Last Update Date:2015-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health