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NPI Code Detail

MEDICARE: MS. ISABEL POLAKOF M.A., CCC-SLP

MEDICARE: MS. ISABEL POLAKOF M.A., CCC-SLP
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
1235Z00000XSpeech-Language PathologistAZ
2235Z00000XSpeech-Language Pathologist
3235Z00000XSpeech-Language PathologistSLP1420AZ

General Provider Information

NPI Number : 1669450946
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ISABEL POLAKOF M.A., CCC-SLP
Provider Business Mailing Address
First Line : PSC 475 BOX 1
Second Line :
City : FPO
State : AP
Zip : 96350-1200
Country : US
Telephone Number : 315-243-5171
Fax Number :
Provider Business Practice Location Address
First Line : PSC 475 BOX 1
Second Line :
City : FPO
State : AP
Zip : 96350-1200
Country : US
Telephone Number : 315-243-5171
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2006
Last Update Date : 08/23/2023

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Directions to “ MS. ISABEL POLAKOF M.A., CCC-SLP” Practice Location

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