Provider Demographics
NPI:1386084598
Name:LAYOSA, KATHRYN (MFT)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:LAYOSA
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:KATI
Other - Middle Name:
Other - Last Name:LAYOSA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6200 VALLEY WOOD DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89523-1243
Mailing Address - Country:US
Mailing Address - Phone:775-815-8751
Mailing Address - Fax:
Practice Address - Street 1:3700 SAFE HARBOR WAY
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89512-1137
Practice Address - Country:US
Practice Address - Phone:775-787-9411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-02
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1002106H00000X
NVMI0432106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist