Healthcare Provider Details

I. General information

NPI: 1689510521
Provider Name (Legal Business Name): LYNNETTE NAOMI POLA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13401 PEMBERLEY PASSAGE AVE
BAKERSFIELD CA
93311-8440
US

IV. Provider business mailing address

3101 NEAH BAY DR
BAKERSFIELD CA
93312-5531
US

V. Phone/Fax

Practice location:
  • Phone: 661-501-1617
  • Fax:
Mailing address:
  • Phone: 661-805-2163
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number35670
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: