Individual
MR. MICHAEL RAY PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S. CCC-SLP
Contact information
Practice address
25 MAX LANE DR, JACKSON, TN 38305-2815
(731) 541-6572
(731) 541-4436
Mailing address
25 MAX LANE DR, JACKSON, TN 38305-2815
(731) 541-6572
(731) 541-4436
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP2899
TN
Other
Enumeration date
02/23/2010
Last updated
02/23/2010
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