Doctor Name: | MICHELLE POLLARD |
NPI Number: | 1396937736 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.,CCC-SLP |
License Number: | 6551 |
Business Practice Address: | 300 Ocean Ave Revere, MA - 021513675 |
Business Phone Number: | 7814856175 |
Business Fax Number: | 7814856106 |
Mailing Address: | 88 Forest St, SAUGUS |
State: | MA |
Postal Code: | 019063137 |
Phone Number: | 8476508907 |
Fax Number: | 7814856106 |
NPI Enumeration Date: | 08/09/2007 |
NPI Last Update Date: | 08/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 6551 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
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 |