Individual provider · Type 1 NPI

Kelly Polk, MA CCC-SLP

Speech-Language Pathologist · Southgate, MI

NPI number 1689457129 Active

Practice location

13331 Reeck Ct Ste 201
Southgate, MI 48195-3054

Call (734) 675-3908 Map

Fax (734) 675-3925

Mailing address

23601 Sterling Pl
Dearborn, MI 48124-1632

Specialties and licenses

Taxonomy	Code	License
Speech-Language Pathologist Primary	235Z00000X	7101002597 (MI)

Speech-Language Pathologist: 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, resonan…

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About NPI 1689457129

Kelly Polk, MA CCC-SLP's National Provider Identifier is 1689457129, issued on Aug 17, 2023. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Southgate, MI. The record was last updated on Aug 17, 2023.