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NPI Code Detail

MEDICARE: MS. RHODA POLSON M.ED.,C.C.C.

MEDICARE: MS. RHODA POLSON M.ED.,C.C.C.
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 Pathologist499OK

General Provider Information

NPI Number : 1851471247
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. RHODA POLSON M.ED.,C.C.C.
Provider Business Mailing Address
First Line : 514 E OKLAHOMA AVE
Second Line :
City : GUTHRIE
State : OK
Zip : 73044-3416
Country : US
Telephone Number : 405-282-6700
Fax Number : 405-260-4261
Provider Business Practice Location Address
First Line : 200 S ACADEMY RD
Second Line : REHABILITATION DEPT
City : GUTHRIE
State : OK
Zip : 73044-8727
Country : US
Telephone Number : 405-282-6700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 07/08/2007

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Directions to “ MS. RHODA POLSON M.ED.,C.C.C.” Practice Location

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