Doctor Name: | STEPHANIE K POLLARD |
NPI Number: | 1013221621 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SP |
License Number: | SP7704 |
Business Practice Address: | 1370 Brea Blvd Suite 105 Fullerton, CA - 928354125 |
Business Phone Number: | 7143949150 |
Business Fax Number: | 7146717820 |
Mailing Address: | 1370 Brea Blvd, Suite 105 FULLERTON |
State: | CA |
Postal Code: | 928354125 |
Phone Number: | 7143949150 |
Fax Number: | 7146717820 |
NPI Enumeration Date: | 08/06/2010 |
NPI Last Update Date: | 08/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP7704 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |