MEDICARE: DR. JAMES CHARLES LAYTON PHD

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	101YM0800X	Mental Health Counselor	746	NC

General Provider Information

NPI Number	:	1942281860
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES CHARLES LAYTON PHD

Provider Business Mailing Address
First Line	:	3118 N CROATAN HWY
Second Line	:
City	:	KILL DEVIL HILLS
State	:	NC
Zip	:	27948-9254
Country	:	US
Telephone Number	:	252-449-8595
Fax Number	:	252-449-8595

Provider Business Practice Location Address
First Line	:	3118 N CROATAN HWY
Second Line	:
City	:	KILL DEVIL HILLS
State	:	NC
Zip	:	27948-9254
Country	:	US
Telephone Number	:	252-449-8595
Fax Number	:	252-449-8595

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

Provider Enumeration Date	:	11/08/2005
Last Update Date	:	07/08/2007

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