Provider Demographics
NPI:1073788352
Name:PAYNE, IOANNA (MS, CPRP)
Entity Type:Individual
Prefix:MS
First Name:IOANNA
Middle Name:
Last Name:PAYNE
Suffix:
Gender:F
Credentials:MS, CPRP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:545 EAST RAILROAD AVENUE
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:PA
Mailing Address - Zip Code:15147
Mailing Address - Country:US
Mailing Address - Phone:412-302-7047
Mailing Address - Fax:412-242-5146
Practice Address - Street 1:8701 BRICELYN STREET
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221
Practice Address - Country:US
Practice Address - Phone:412-302-7047
Practice Address - Fax:412-242-5146
Is Sole Proprietor?:No
Enumeration Date:2008-04-28
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health