Doctor Name: | PENELOPE POLLARD |
NPI Number: | 1316180938 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | ST1829 |
Business Practice Address: | 3 Brazier Ln Kennebunk, ME - 040437095 |
Business Phone Number: | 2079853030 |
Business Fax Number: | |
Mailing Address: | 1000 Shore Rd 326, CAPE ELIZABETH |
State: | ME |
Postal Code: | 041071916 |
Phone Number: | 2078990383 |
Fax Number: | 2075189563 |
NPI Enumeration Date: | 04/13/2009 |
NPI Last Update Date: | 11/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | ST1829 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
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 |