Individual
MARY PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
316 TYLAR PKWY, NEW HAVEN, IN 46774-1556
(260) 749-6383
Mailing address
316 TYLAR PKWY, NEW HAVEN, IN 46774-1556
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003614A
IN
Other
Enumeration date
03/17/2010
Last updated
08/30/2016
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