1376606640 NPI number — MS. BARBARA ANN PAYNE SPSPSY PSYCH ASSOC

Table of content: MS. BARBARA ANN PAYNE SPSPSY PSYCH ASSOC (NPI 1376606640)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376606640 NPI number — MS. BARBARA ANN PAYNE SPSPSY PSYCH ASSOC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PAYNE
Provider First Name:
BARBARA
Provider Middle Name:
ANN
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
SPSPSY PSYCH ASSOC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
PAYNE
Provider Other First Name:
BARBARA
Provider Other Middle Name:
BORRON
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1376606640
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
336 S MAIN ST SUITE 1A
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BEL AIR
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21014
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-838-1337
Provider Business Mailing Address Fax Number:
410-569-5591

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
336 S MAIN ST STE 1 A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BEL AIR
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21014
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-893-0995
Provider Business Practice Location Address Fax Number:
410-339-7169
Provider Enumeration Date:
12/18/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TC1900X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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