Provider Demographics
NPI:1174300107
Name:LAYMAN, AMY BEE (CCC-SLP)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:BEE
Last Name:LAYMAN
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:385 BUCKNELL AVE
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-3923
Mailing Address - Country:US
Mailing Address - Phone:805-750-5010
Mailing Address - Fax:
Practice Address - Street 1:385 BUCKNELL AVE
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-3923
Practice Address - Country:US
Practice Address - Phone:805-750-5010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-12
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31221235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist