Individual
AMANDA ROSE PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
402 E SANTA INEZ AVE, SAN MATEO, CA 94401-1861
(650) 678-1301
Mailing address
402 E SANTA INEZ AVE, SAN MATEO, CA 94401-1861
(650) 678-1301
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
21206
CA
Other
Enumeration date
12/07/2012
Last updated
06/22/2024
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