Individual
MRS. JAMIE LAYNE STAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ITDS
Contact information
Practice address
134 DEANNA DR, LAKE PLACID, FL 33852-7846
(863) 465-7156
Mailing address
134 DEANNA DR, LAKE PLACID, FL 33852-7846
(863) 465-7156
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
103TE1000X
FL
Other
Enumeration date
01/01/2007
Last updated
07/09/2007
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