Doctor Name: | MRS. LETICIA D PAYNE |
NPI Number: | 1942519988 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ED.S CCC-SLP |
License Number: | SLP003935 |
Business Practice Address: | 4002 Highway 78 W Suite 530-217 Snellville, GA - 300397915 |
Business Phone Number: | 4049313901 |
Business Fax Number: | |
Mailing Address: | 4002 Highway 78 W, Suite 530-217 SNELLVILLE |
State: | GA |
Postal Code: | 300397915 |
Phone Number: | 4049313901 |
Fax Number: | |
NPI Enumeration Date: | 09/24/2010 |
NPI Last Update Date: | 09/24/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP003935 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |