Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dominique M Payne, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1497000111

Dominique M Payne, CCC-SLP is a Speech-Language Pathologist in Bowling Green, Kentucky. Licensed in Kentucky and Tennessee. Registered with an NPI since 2012.

Licensed in
KY, TN
In the registry since
2012
Specialties on file
2
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

911 College St Ste 205
Bowling Green, KY 42101-2183
Phone: (270) 551-2032
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 266782 (KY)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 5441 (TN)

Record details

NPI number1497000111
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedJuly 18, 2012
Last updated in NPPESJanuary 11, 2023
Certification dateJanuary 11, 2023

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