Individual
DR. JORDAN LAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
3189 LITTLE SILVER RD, CRESTVIEW, FL 32539-6705
(850) 682-0931
Mailing address
7232 ZOE CIR, NAVARRE, FL 32566-7313
(305) 332-6501
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/02/2007
Last updated
05/27/2009
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