Individual
ERICA PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
43 FLORA LANE, FREEPORT, FL 32439
(719) 722-7758
Mailing address
43 FLORA LANE, FREEPORT, FL 32439
(719) 722-7758
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
235Z00000X
Speech-Language Pathologist
0003880
CO
235Z00000X
Speech-Language Pathologist
Primary
SA22171
FL
Other
Enumeration date
01/20/2021
Last updated
05/07/2024
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