Druanne Payne, SLP

Individual provider Active NPI Speech-Language Pathologist · Questa, NM

NPI 1467599704 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1467599704
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
3486 (NM)
Practice address
527 Sagebrush Road
Questa, NM 87556-0440
Phone
(505) 586-1604
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
3486NMMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Questa Independent Schools Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3486 NM Yes

Addresses

Primary practice location

527 Sagebrush Road
Questa, NM 87556-0440

Mailing address

PO Box 956
El Prado, NM 87529-0956
Phone (505) 770-2066

Other identifiers

IdentifierTypeStateIssuer
T6536MedicaidNM

Other providers in Questa, NM

All providers in Questa, NM · Speech-Language Pathologist in New Mexico

Sources for this page

Verify at the official NPI Registry.