Payne, Gladys

Payne, Gladys is an individual health care provider with primary practice located at 903 Brightseat Rd , Landover MD 20785-4725. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Payne, Gladys can be contacted via phone (301) 278-1194.

Contact Information

Primary practice address
903 Brightseat Rd Landover MD 20785-4725
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LGP7240 Maryland

Profile Details

NPI number 1093226425
LBN Legal business name Payne, Gladys
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2017
Last updated Jun 16th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093226425 NPPES
Maryland MEDICAID 1326189036

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