Individual
DR. TYRONE PAYNE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4130 LINDEN AVE, SUITE 309, DAYTON, OH 45432-3015
(937) 254-7301
(937) 254-2117
Mailing address
103 WISTERIA DR, DAYTON, OH 45419-3454
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
953
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0269374
—
OH
Enumeration date
06/05/2006
Last updated
07/09/2007
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