Provider Demographics
NPI:1871312777
Name:BAYOR, RAYA (LSW)
Entity type:Individual
Prefix:
First Name:RAYA
Middle Name:
Last Name:BAYOR
Suffix:
Gender:
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1646 N ATHERTON ST # 1006
Mailing Address - Street 2:
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16803-1416
Mailing Address - Country:US
Mailing Address - Phone:970-901-0199
Mailing Address - Fax:
Practice Address - Street 1:1646 N ATHERTON ST # 1006
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16803-1416
Practice Address - Country:US
Practice Address - Phone:970-901-0199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-08
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW141588104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty