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POLK SCHOOL DISTRICT NPI 1427117761


NPI Information

NPI: 1427117761
Provider Name: POLK SCHOOL DISTRICT
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization

CLIA Number: 11D2270727

Address:
612 S COLLEGE ST
CEDARTOWN, GA
ZIP 30125
Phone: (770) 684-8718
Get Directions

POLK SCHOOL DISTRICT is a speech language pathologist in Cedartown, GA. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. POLK SCHOOL DISTRICT NPI is 1427117761. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

612 S COLLEGE ST
CEDARTOWN, GA
ZIP 30125-522
Phone: (770) 684-8718
Fax: (770) 684-3221

The provider's authorized official is John L Vassar .
The authorized official title is Billing Administrator and has the following contact phone number (386) 884-9900.

The CLIA number assigned to this NPI record is 11D2270727 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/6/2006 and was last updated on 10/9/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language Pathologist235Z00000NGEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000795935AMEDICAIDGEORGIA
2103071OTHERWEB PORTAL SUBMISSION NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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