Layton, Tracy Shaver

Layton, Tracy Shaver is an sole proprietor health care provider with primary practice located at 206 Albert Ave , Shreveport LA 71105-3006. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Layton, Tracy Shaver can be contacted via phone (318) 455-5806.

Contact Information

Primary practice address
206 Albert Ave Shreveport LA 71105-3006
Fax: (318) 868-4772
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2777 Louisiana

Profile Details

NPI number 1407074602
LBN Legal business name Layton, Tracy Shaver
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2007
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407074602 NPPES
Louisiana MEDICAID 1-30761-1

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