Doctor Name: | ADRIAN L PAYNE |
NPI Number: | 1043349392 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 12408 Van Nuys Blvd Suite 200 Pacoima, CA - 913311313 |
Business Phone Number: | 8188961161 |
Business Fax Number: | 8188965069 |
Mailing Address: | 11821 Foothill Blvd, Apt 33 LAKE VIEW TERRACE |
State: | CA |
Postal Code: | 913427200 |
Phone Number: | 8188965474 |
Fax Number: | |
NPI Enumeration Date: | 03/04/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |