| Doctor Name: | DEBORAH LYN POLZIN |
| NPI Number: | 1295750461 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LLP |
| License Number: | 6301012659 |
| Business Practice Address: | 703 N 2nd Ave Iron River, MI - 499351451 |
| Business Phone Number: | 9062655126 |
| Business Fax Number: | 9062655878 |
| Mailing Address: | 715 Pyle Dr, KINGSFORD |
| State: | MI |
| Postal Code: | 498024456 |
| Phone Number: | 9067740522 |
| Fax Number: | 9067741570 |
| NPI Enumeration Date: | 07/12/2006 |
| NPI Last Update Date: | 08/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 6301012659 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |