Doctor Name: | MS. DENIECE MARAGRITA' PAYNE |
NPI Number: | 1003052523 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS-SLP, MED |
License Number: | |
Business Practice Address: | 10851 Tidewater Trl #103 Fredericksburg, VA - 224082048 |
Business Phone Number: | 5713308120 |
Business Fax Number: | 8777713419 |
Mailing Address: | 17775 Main St, Ste 104 DUMFRIES |
State: | VA |
Postal Code: | 220262491 |
Phone Number: | 5713308120 |
Fax Number: | 8777713419 |
NPI Enumeration Date: | 01/06/2009 |
NPI Last Update Date: | 11/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |