Doctor Name: | JENIFER ANN LAYNE |
NPI Number: | 1447444765 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LCSW |
License Number: | |
Business Practice Address: | 7309 Balmer St Bldg 545 Hill Afb, UT - 84056 |
Business Phone Number: | 8017777909 |
Business Fax Number: | 8017774490 |
Mailing Address: | 2161 Nw Miltary Hwy, Suite 308 SAN ANTONIO |
State: | TX |
Postal Code: | 78213 |
Phone Number: | 2103413336 |
Fax Number: | 2103413455 |
NPI Enumeration Date: | 08/29/2007 |
NPI Last Update Date: | 06/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |