Provider Demographics
NPI:1609761055
Name:PAYNE, ANNA LEIGH (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:LEIGH
Last Name:PAYNE
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 CONIFER WAY
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:NC
Mailing Address - Zip Code:28150-7302
Mailing Address - Country:US
Mailing Address - Phone:704-473-1675
Mailing Address - Fax:980-701-0008
Practice Address - Street 1:811 W WARREN ST
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:NC
Practice Address - Zip Code:28150-5023
Practice Address - Country:US
Practice Address - Phone:704-473-1675
Practice Address - Fax:980-701-0008
Is Sole Proprietor?:No
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30003738235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist