MEDICARE: POLLOCK & ASSOCIATES

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	101Y00000X	Counselor	E3028	OH

General Provider Information

NPI Number	:	1518974195
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	POLLOCK & ASSOCIATES

Provider Business Mailing Address
First Line	:	2321 2ND ST
Second Line	:	SUITE 108
City	:	CUYAHOGA FALLS
State	:	OH
Zip	:	44221-2520
Country	:	US
Telephone Number	:	330-920-9085
Fax Number	:	330-920-9085

Provider Business Practice Location Address
First Line	:	2321 2ND ST
Second Line	:	SUITE 108
City	:	CUYAHOGA FALLS
State	:	OH
Zip	:	44221-2520
Country	:	US
Telephone Number	:	330-920-9085
Fax Number	:	330-920-9085

Authorized Official
Title or Position	:	C.E.O./DIRECTOR
Name	:	MR. GREGORY LEE POLLOCK
Credential	:	P.C.C., S.C.
Telephone Number	:	330-920-9085

Provider Enumeration Date	:	08/03/2006
Last Update Date	:	08/14/2008

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