Doctor Name: | MS. ISABEL POLAKOF |
NPI Number: | 1669450946 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP |
License Number: | SLP1420 |
Business Practice Address: | Psc 76, Box 4044 Apo, AP - 96319 |
Business Phone Number: | 315-226-5294 |
Business Fax Number: | |
Mailing Address: | Psc 76, Box 4044, APO |
State: | AP |
Postal Code: | 96319 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP1420 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
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 |