Individual
ROY E PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
2100 GOSHEN RD, FORT WAYNE, IN 46808-1493
(260) 471-3500
(260) 471-4263
Mailing address
4216 FLAGSTAFF CV, ATTN: KRISTY BOYD, FORT WAYNE, IN 46815-4417
(260) 485-4357
(260) 485-4357
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
11/11/2011
Last updated
11/06/2013
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