Doctor Name: | MRS. KRISTEN MARIE POLLICH |
NPI Number: | 1265776298 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A-SLP/CFY |
License Number: | 7101000166 |
Business Practice Address: | 395 S Shore Dr Ste 310 Battle Creek, MI - 490145466 |
Business Phone Number: | 2696601025 |
Business Fax Number: | |
Mailing Address: | 1560 Wickford Dr, KALAMAZOO |
State: | MI |
Postal Code: | 490097984 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/15/2012 |
NPI Last Update Date: | 11/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 7101000166 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |