Dyke Polivka, Angel

Dyke Polivka, Angel is an individual health care provider with primary practice located at 890 N 200 W , Pleasant Grove UT 84062-1608. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Dyke Polivka, Angel can be contacted via phone (812) 219-7233.

Contact Information

Primary practice address
890 N 200 W Pleasant Grove UT 84062-1608
Phone: (812) 219-7233
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1679226724
LBN Legal business name Dyke Polivka, Angel
Credentials MS, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2022
Last updated Jan 29th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers