Healthcare Provider Details

I. General information

NPI: 1790855781
Provider Name (Legal Business Name): DEBBIE LAYTON-THOLL PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 10/20/2021
Certification Date: 10/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5300 W ATLANTIC AVENUE SUITE 408
DELRAY BEACH FL
33484
US

IV. Provider business mailing address

PO BOX 480253
DELRAY BEACH FL
33448-0253
US

V. Phone/Fax

Practice location:
  • Phone: 954-315-3418
  • Fax:
Mailing address:
  • Phone: 561-306-7771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY6177
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License NumberPY6177
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License NumberPY6177
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: