Individual
DR. KENNETH L LAYTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
2836
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1898485
—
MA
01
—
LA W03047
BLUE CROSS BLUE SHIELD
MA
Enumeration date
07/24/2006
Last updated
02/17/2023
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