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Organization

DIANE L PAYNE PHD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DIANE L PAYNE (OWNER)
(704) 222-3429
Entity
Organization

Contact information

Practice address
3111 SPRINGBANK LN, SUITE I, CHARLOTTE, NC 28226-3372
(704) 540-0625
Mailing address
3111 SPRINGBANK LN, SUITE I, CHARLOTTE, NC 28226-3372
(704) 540-0625

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1615
NC

Other

Enumeration date
07/17/2006
Last updated
01/04/2008
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