Paula C Payne, MS CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Church Hill, TN

NPI 1144619487 · NPPES record last updated Jan 9, 2015

Key facts

NPI
1144619487
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
4186 (TN)
Practice address
610 Old Union Rd
#7
Church Hill, TN 37642-4295
Phone
(865) 531-2204
NPI assigned
Jan 9, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4186TNMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4186 TN Yes

Addresses

Primary practice location

610 Old Union Rd
#7
Church Hill, TN 37642-4295

Mailing address

610 Old Union Rd
#7
Church Hill, TN 37642-4295
Phone (865) 531-2204

Other providers in Church Hill, TN

All providers in Church Hill, TN · Speech-Language Pathologist in Tennessee

Sources for this page

Verify at the official NPI Registry.