Individual
BECKY L PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MATCC/SLP
Contact information
Practice address
2523 14 3/4 AVE, RICE LAKE, WI 54868-8736
(715) 859-6670
(715) 859-6669
Mailing address
2523 14 3/4 AVE, RICE LAKE, WI 54868-8736
(715) 859-6670
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1112-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
216L5LU
ATRIUM
WI
05
—
42740100
—
WI
Enumeration date
11/17/2005
Last updated
06/19/2012
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