Laytin, Kenneth L

Laytin, Kenneth L is an sole proprietor health care provider with primary practice located at 125 Paradise Ln , Rochester MA 02770-4043. He recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as his primary health care specialty. Laytin, Kenneth L can be contacted via phone (508) 746-4373.

Contact Information

Primary practice address
125 Paradise Ln Rochester MA 02770-4043
Phone: (508) 746-4373
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 2836 Massachusetts

Profile Details

NPI number 1114949625
LBN Legal business name Laytin, Kenneth L
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2006
Last updated Feb 17th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114949625 NPPES
Massachusetts MEDICAID 1898485
Massachusetts Other LA W03047

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