Doctor Name: | MRS. JENNY BROOKE PAYNE |
NPI Number: | 1083995799 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. SLP |
License Number: | 2012047 |
Business Practice Address: | 170 Mill St Gahanna, OH - 432303036 |
Business Phone Number: | 6144145437 |
Business Fax Number: | |
Mailing Address: | 546 Allview Ct, WESTERVILLE |
State: | OH |
Postal Code: | 430812907 |
Phone Number: | 7404086063 |
Fax Number: | |
NPI Enumeration Date: | 09/08/2011 |
NPI Last Update Date: | 09/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2012047 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |