Emily McCall Payne, MS, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Mount Wolf, PA

NPI 1578823720 · NPPES record last updated May 22, 2012

Key facts

NPI
1578823720
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SL010874 (PA)
Practice address
4880 N Sherman Street Ext
Mount Wolf, PA 17347-9637
Phone
(717) 266-9294
Fax
(717) 384-8071
NPI assigned
May 22, 2012
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)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SL010874PAMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL010874 PA Yes

Addresses

Primary practice location

4880 N Sherman Street Ext
Mount Wolf, PA 17347-9637

Mailing address

4880 N Sherman Street Ext
Mount Wolf, PA 17347-9637
Phone (717) 266-9294

Other providers in Mount Wolf, PA

All providers in Mount Wolf, PA · Speech-Language Pathologist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.