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
Phone: (318) 455-5806
Fax: (318) 868-4772
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407074602 | NPPES |
| Louisiana | MEDICAID | 1-30761-1 |
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