Individual
MS. PAYTON ALYSE YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13900 HULL STREET RD, MIDLOTHIAN, VA 23112-2004
(804) 639-8668
Mailing address
3130 ELLWOOD AVE, RICHMOND, VA 23221-2916
(276) 920-7773
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202009895
VA
235Z00000X
Speech-Language Pathologist
2204000458
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2020
Last updated
08/15/2025
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