Doctor Name: | MRS. REBECCA ANNE PAYNE |
NPI Number: | 1699952788 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED CCC-SLP |
License Number: | 2763 |
Business Practice Address: | 22242 E 63rd St S Broken Arrow, OK - 740142009 |
Business Phone Number: | 9186307334 |
Business Fax Number: | |
Mailing Address: | 22242 E 63rd St S, BROKEN ARROW |
State: | OK |
Postal Code: | 740142009 |
Phone Number: | 9186307334 |
Fax Number: | |
NPI Enumeration Date: | 01/30/2008 |
NPI Last Update Date: | 05/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2763 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
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 |