MEDICARE: POLA ISSER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1427343276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	POLA ISSER

Provider Business Mailing Address
First Line	:	7365 PRAIRIE FALCON RD STE 110
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0808
Country	:	US
Telephone Number	:	702-462-5252
Fax Number	:

Provider Business Practice Location Address
First Line	:	7365 PRAIRIE FALCON RD STE 110
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0808
Country	:	US
Telephone Number	:	702-462-5252
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2011
Last Update Date	:	11/27/2023

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Directions to “ POLA ISSER ” Practice Location

Language	Start Address	Practice Location

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