| Doctor Name: | MS. CHERYL DELLENE PAYNE |
| NPI Number: | 1073829396 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 105178 |
| Business Practice Address: | 1979 Lakeside Pkwy 800 Tucker, GA - 300845935 |
| Business Phone Number: | 7709082113 |
| Business Fax Number: | |
| Mailing Address: | 12323 N Gessner Dr, 1724 HOUSTON |
| State: | TX |
| Postal Code: | 770647684 |
| Phone Number: | 2406448863 |
| Fax Number: | |
| NPI Enumeration Date: | 08/24/2010 |
| NPI Last Update Date: | 08/24/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 105178 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| 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 |