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NPI Code Detail

MEDICARE: MRS. REBECCA ANNE PAYNE M.ED CCC-SLP

MEDICARE: MRS. REBECCA ANNE PAYNE M.ED CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist2763OK

General Provider Information

NPI Number : 1699952788
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. REBECCA ANNE PAYNE M.ED CCC-SLP
Provider Business Mailing Address
First Line : 1605 S EUCALYPTUS AVE STE 200
Second Line :
City : BROKEN ARROW
State : OK
Zip : 74012-5996
Country : US
Telephone Number : 918-608-1212
Fax Number : 918-395-9035
Provider Business Practice Location Address
First Line : 1605 S EUCALYPTUS AVE STE 200
Second Line :
City : BROKEN ARROW
State : OK
Zip : 74012-5996
Country : US
Telephone Number : 918-608-1212
Fax Number : 918-395-9035
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2008
Last Update Date : 05/21/2026

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Directions to “ MRS. REBECCA ANNE PAYNE M.ED CCC-SLP” Practice Location

Language Start Address Practice Location
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