Individual
JUSTINE MARIE PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
495 45TH CT, VERO BEACH, FL 32968-1844
(772) 633-1490
Mailing address
495 45TH CT, VERO BEACH, FL 32968-1844
(772) 633-1490
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
100783400
FL
2355S0801X
Speech-Language Assistant
SI 1351
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100783400
—
FL
01
—
SI1351
SLPA
FL
Enumeration date
12/04/2009
Last updated
06/17/2025
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