| Organization Name: | POLONCHAK EDUCATIONAL ASSOCIATES |
| NPI Number: | 1720294226 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CATHY POLONCHAK (VICE PRESIDENT) |
| Mailing Address: | 129 E. German St. Shepherdstown |
| State: | WV US |
| Postal Code: | 25443 |
| Phone Number: | 3048763022 |
| Fax Number: | 3048761421 |
| NPI Enumeration Date: | 05/14/2007 |
| NPI Last Update Date: | 06/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | DP00940860 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |