Individual
MR. FRANK TREVOR POLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSCCC/SLP
Contact information
Practice address
1111 SHIVE LN STE 104, BOWLING GREEN, KY 42103
(270) 576-3303
Mailing address
122 THOROUGHBRED LN, GLASGOW, KY 42141-8228
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
140203
KY
Other
Enumeration date
06/27/2018
Last updated
07/05/2018
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