Individual
JANE W PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5001 MAYFIELD RD, 200, LYNDHURST, OH 44124-2602
(216) 291-4000
(216) 291-4111
Mailing address
3872 E HARBOR LIGHT LANDING DR, 200, PORT CLINTON, OH 43452-3877
(419) 734-3333
(877) 734-2030
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4367
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000137848
ANTHEM
OH
05
—
0182387
—
OH
01
—
042501002
MAGELLAN
OH
01
—
6100372
EVERCARE
OH
01
—
620003450
RAILROAD MEDICARE
OH
01
—
84523
QUALCHOICE
OH
Enumeration date
08/27/2006
Last updated
09/29/2016
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