Doctor Name: | DANA CATHERINE POLUN |
NPI Number: | 1255406856 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | |
Business Practice Address: | 511 Park Ave River Forest, IL - 603051712 |
Business Phone Number: | 7083666740 |
Business Fax Number: | |
Mailing Address: | 511 Park Ave, RIVER FOREST |
State: | IL |
Postal Code: | 603051712 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/21/2006 |
NPI Last Update Date: | 04/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
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 |