Doctor Name: | MRS. SNOW D PAYNE |
NPI Number: | 1265565030 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CCC SLP |
License Number: | 776 |
Business Practice Address: | 16216 Baxter Rd Suite 330 Chesterfield, MO - 630174770 |
Business Phone Number: | 6367333330 |
Business Fax Number: | 6367333332 |
Mailing Address: | 1820 Ridgeview Circle Dr, BALLWIN |
State: | MO |
Postal Code: | 630217809 |
Phone Number: | 5365945280 |
Fax Number: | |
NPI Enumeration Date: | 03/13/2007 |
NPI Last Update Date: | 04/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 776 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
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 |