Erica Payne, M.S., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Freeport, FL
NPI 1689264046 · NPPES record last updated May 7, 2024
Key facts
- NPI
- 1689264046
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SA22171 (FL)
- Practice address
- 43 Flora Lane
Freeport, FL 32439 - Phone
- (719) 722-7758
- NPI assigned
- Jan 20, 2021
- Sex
- Female
- Sole proprietor
- No
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0003880 | CO | MD | Speech-Language Pathologist |
| SA22171 | FL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | |||
| Speech-Language Pathologist | 235Z00000X | 0003880 | CO | |
| Speech-Language Pathologist | 235Z00000X | SA22171 | FL | Yes |
Addresses
Primary practice location
43 Flora Lane
Freeport, FL 32439
Mailing address
43 Flora Lane
Freeport, FL 32439
Phone (719) 722-7758
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All providers in Freeport, FL · Speech-Language Pathologist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.