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NPI Code Detail

MEDICARE: ALISON POLZIN CCC-SLP

MEDICARE:   ALISON  POLZIN  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 Pathologist5237-154WI

General Provider Information

NPI Number : 1841867850
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISON POLZIN CCC-SLP
Provider Business Mailing Address
First Line : 991 KIMBALL LN
Second Line :
City : VERONA
State : WI
Zip : 53593-1785
Country : US
Telephone Number : 608-556-6120
Fax Number :
Provider Business Practice Location Address
First Line : 991 KIMBALL LN
Second Line :
City : VERONA
State : WI
Zip : 53593-1785
Country : US
Telephone Number : 608-556-6120
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2021
Last Update Date : 04/23/2024

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Directions to “ ALISON POLZIN CCC-SLP” Practice Location

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