Provider Demographics
NPI:1578556403
Name:PAYNE, E. CHRISTOPHER (PHD)
Entity Type:Individual
Prefix:DR
First Name:E. CHRISTOPHER
Middle Name:
Last Name:PAYNE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:628 TWIN PONDS RD
Mailing Address - Street 2:
Mailing Address - City:BREINIGSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18031-1843
Mailing Address - Country:US
Mailing Address - Phone:610-434-7820
Mailing Address - Fax:610-434-8210
Practice Address - Street 1:628 TWIN PONDS RD
Practice Address - Street 2:
Practice Address - City:BREINIGSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18031-1843
Practice Address - Country:US
Practice Address - Phone:610-434-7820
Practice Address - Fax:610-434-8210
Is Sole Proprietor?:No
Enumeration Date:2005-08-25
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS006290L103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA739347OtherHIGHMARK BLUE SHIELD
PA739347OtherHIGHMARK BLUE SHIELD