NPI 1326516634 · live from the CMS NPI Registry
Polly Anderson Divens
Speech-Language Pathologist, in Palmer, AK. National Provider Identifier 1326516634, active.
NPI record
| NPI | 1326516634 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 1901 N Hemmer Rd Ste 109, Palmer, AK 99645 |
| Practice phone | 907-317-5895 |
| Mailing address | 14960 E Depriest Ave, Palmer, AK 99645 |
| Enumerated | November 5, 2018 |
| Last updated | November 5, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.