MEDICARE: DR. PRISCILLA GRACE LAYMAN PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	38620	TX

General Provider Information

NPI Number	:	1184229767
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PRISCILLA GRACE LAYMAN PSY.D.

Provider Business Mailing Address
First Line	:	4023 ARBOR HTS
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78251-2718
Country	:	US
Telephone Number	:	210-365-5212
Fax Number	:

Provider Business Practice Location Address
First Line	:	4023 ARBOR HTS
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78251-2718
Country	:	US
Telephone Number	:	210-365-5212
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2020
Last Update Date	:	11/15/2022

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