Doctor Name: | MRS. TRACY SHAVER LAYTON |
NPI Number: | 1407074602 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 2777 |
Business Practice Address: | 206 Albert Ave Shreveport, LA - 711053006 |
Business Phone Number: | 3184555806 |
Business Fax Number: | 3188684772 |
Mailing Address: | 206 Albert Avenue, SHREVEPORT |
State: | LA |
Postal Code: | 71105 |
Phone Number: | 3184555806 |
Fax Number: | 3188684772 |
NPI Enumeration Date: | 04/23/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2777 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |