Individual
MRS. EDNA K. PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.,CCC-SLP
Contact information
Practice address
117 KINDERKAMACK RD STE 107, RIVER EDGE, NJ 07661-1916
(201) 487-1497
(201) 816-3117
Mailing address
316 HOWLAND AVE, ENGLEWOOD, NJ 07631-3229
(201) 569-3454
(201) 816-3117
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00144300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41YS00144300
SPEECH PATHOLOGIST
NJ
Enumeration date
06/12/2007
Last updated
07/08/2007
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