Individual
BONNIE GRACE PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9900 N CENTRAL EXPY STE 225, DALLAS, TX 75231-0918
(830) 221-8022
Mailing address
305 NE LOOP 820 STE 200, HURST, TX 76053-7211
(817) 292-8787
(817) 789-6849
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
114559
TX
Other
Enumeration date
06/15/2018
Last updated
06/15/2018
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