Healthcare Provider Details

I. General information

NPI: 1205072907
Provider Name (Legal Business Name): PAUL GERARD LAYDEN PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/30/2008
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9408 SW 87TH AVE STE 102
MIAMI FL
33176-2416
US

IV. Provider business mailing address

4800 N SCOTTSDALE RD STE 2500
SCOTTSDALE AZ
85251-7630
US

V. Phone/Fax

Practice location:
  • Phone: 877-653-5907
  • Fax: 786-220-1565
Mailing address:
  • Phone: 770-389-8100
  • Fax: 678-782-6622

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY11679
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: