Individual
SUSAN CLAIR PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14715 BRISTOW RD, MANASSAS, VA 20112-3945
(703) 791-8857
Mailing address
9201 ROGUES RD, WARRENTON, VA 20187-8354
(540) 788-4056
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202000756
VA
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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