Provider Demographics
NPI:1326187899
Name:LAYNE, LISA ANN (MA)
Entity type:Individual
Prefix:MRS
First Name:LISA
Middle Name:ANN
Last Name:LAYNE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:LISA
Other - Middle Name:ANN
Other - Last Name:REO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:547 CREEKSIDE LN
Mailing Address - Street 2:
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-6813
Mailing Address - Country:US
Mailing Address - Phone:434-326-6852
Mailing Address - Fax:
Practice Address - Street 1:301 W GROVE ST STE 1K
Practice Address - Street 2:
Practice Address - City:CLARKS SUMMIT
Practice Address - State:PA
Practice Address - Zip Code:18411-2080
Practice Address - Country:US
Practice Address - Phone:570-736-1800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health