Individual
MICHAEL LANG POLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATP
Contact information
Practice address
4703 DC DR STE 100, TYLER, TX 75701
(903) 597-5656
(903) 729-5496
Mailing address
4703 DC DR STE 100, TYLER, TX 75701-0405
(903) 597-5656
(903) 597-5580
Taxonomy
Speciality
Code
Description
License number
State
225CA2400X
Assistive Technology Practitioner Rehabilitation Counselor
Primary
10296600
TX
247200000X
Other Technician
10296600
TX
Other
Enumeration date
05/04/2011
Last updated
08/16/2018
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