Individual
PAMELA POLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
12319 HIGHLAND RD, HARTLAND, MI 48353-2946
(810) 991-1211
Mailing address
12010 CALDWALLER RD, FENTON, MI 48430-8418
(810) 629-8876
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101000843
MI
Other
Enumeration date
12/03/2015
Last updated
12/03/2015
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