Healthcare Provider Details

I. General information

NPI: 1922713734
Provider Name (Legal Business Name): CAMRYN HARN LAYTON M.S SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CAMRYN NICOLE HARN

II. Dates (important events)

Enumeration Date: 01/16/2023
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 CABARRUS AVE W
CONCORD NC
28025-5150
US

IV. Provider business mailing address

2967 LANGHORNE AVE SW
CONCORD NC
28027-8991
US

V. Phone/Fax

Practice location:
  • Phone: 704-251-9555
  • Fax:
Mailing address:
  • Phone: 704-562-3891
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number30005079
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: