Individual
TANYA M POLKINGHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
1100 W 41ST ST, SIOUX FALLS, SD 57105-6325
(605) 782-2400
Mailing address
5608 W 51ST ST, SIOUX FALLS, SD 57106-1832
(605) 366-8419
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5832240
—
SD
Enumeration date
03/12/2007
Last updated
07/08/2007
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