Healthcare Provider Details

I. General information

NPI: 1235002908
Provider Name (Legal Business Name): AMANDA LAYMAN PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2025
Last Update Date: 09/27/2025
Certification Date: 09/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

59 OAKWOOD VLG APT 10
FLANDERS NJ
07836-8935
US

IV. Provider business mailing address

59 OAKWOOD VLG APT 10
FLANDERS NJ
07836-8935
US

V. Phone/Fax

Practice location:
  • Phone: 973-462-9341
  • Fax:
Mailing address:
  • Phone: 973-462-9341
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number35SI00725300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: