Doctor Name: | JENNIFER PAYNE |
NPI Number: | 1033369756 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | SP-1300 |
Business Practice Address: | 516 W Bijou St Colorado Springs, CO - 809051311 |
Business Phone Number: | 7196339114 |
Business Fax Number: | |
Mailing Address: | 2418 Majestic Plains Ct, COLORADO SPRINGS |
State: | CO |
Postal Code: | 809151968 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/30/2008 |
NPI Last Update Date: | 07/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP-1300 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NV |
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 |