Angel Dyke Polivka, MS, CCC-SLP
NPI #1679226724 in Pleasant Grove, Utah
Provider Information
- NPI Number
- 1679226724
- Entity Type
- Individual
- Name
- Angel Dyke Polivka, MS, CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MS, CCC-SLP
- Enumeration Date
- Jan 29, 2022
- Last Updated
- Jan 29, 2022
Practice Location
- Address
- 890 N 200 W
- City
- Pleasant Grove
- State
- Utah
- ZIP Code
- 84062-1608
- Phone
- (812) 219-7233
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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