| Doctor Name: | CAROLINE PIERPONT PAYNE |
| NPI Number: | 1114324407 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | 018865 |
| Business Practice Address: | 42 North Main Street Canandaigua, NY - 12180 |
| Business Phone Number: | 5859190018 |
| Business Fax Number: | 5853930014 |
| Mailing Address: | 2169 14th Street, TROY |
| State: | NY |
| Postal Code: | 12180 |
| Phone Number: | 5184376550 |
| Fax Number: | 5184376565 |
| NPI Enumeration Date: | 12/02/2014 |
| NPI Last Update Date: | 12/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 018865 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |