Provider Demographics
NPI:1194780742
Name:LAYTON, JULIE (SLP)
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:
Last Name:LAYTON
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 266
Mailing Address - Street 2:608 PIERCE
Mailing Address - City:MAPLE HILL
Mailing Address - State:KS
Mailing Address - Zip Code:66507-0266
Mailing Address - Country:US
Mailing Address - Phone:785-256-4378
Mailing Address - Fax:
Practice Address - Street 1:120 W 8TH ST
Practice Address - Street 2:
Practice Address - City:ONAGA
Practice Address - State:KS
Practice Address - Zip Code:66521-9574
Practice Address - Country:US
Practice Address - Phone:785-889-4274
Practice Address - Fax:785-889-4117
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1757235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS115312OtherBLUE SHIELD