Individual
MRS. REBECCA PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1000 W POPLAR ST, ROGERS, AR 72756-4242
(479) 621-8500
(479) 621-8506
Mailing address
6124 PLEASANT DR, ROGERS, AR 72758-9556
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-1894
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5Y042
BLUECROSS
AR
Enumeration date
08/04/2006
Last updated
07/08/2007
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