Doctor Name: | MRS. CHRISTIE PAYNE |
NPI Number: | 1033483326 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, LPC |
License Number: | LPC-13207 |
Business Practice Address: | 10451 W Palmeras Dr Suite 221 E Sun City, AZ - 853732011 |
Business Phone Number: | 7707443748 |
Business Fax Number: | |
Mailing Address: | 16227 N 153rd Ave, SURPRISE |
State: | AZ |
Postal Code: | 853747413 |
Phone Number: | 7707443748 |
Fax Number: | |
NPI Enumeration Date: | 03/03/2012 |
NPI Last Update Date: | 03/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LPC-13207 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |