Individual
DR. STACEY POLOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1821 BUSINESS PARK BLVD, DAYTONA BEACH, FL 32114-1230
(386) 366-6700
(386) 366-6790
Mailing address
1821 BUSINESS PARK BLVD, DAYTONA BEACH, FL 32114-1230
(386) 366-6700
(386) 366-6790
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 9228
FL
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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