Polcyn, Dawn M.

Polcyn, Dawn M. is an sole proprietor health care provider with primary practice located at 701 West Wetmore Rd. Rm. 168 Amphitheater Public Schools, Tucson AZ 85705-1547. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Polcyn, Dawn M. can be contacted via phone (520) 696-5237.

Contact Information

Primary practice address
701 West Wetmore Rd. Rm. 168 Amphitheater Public Schools Tucson AZ 85705-1547
Phone: (520) 696-5237
Fax: (520) 696-5067
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X
Behavioral Health & Social Service Providers / School 103TS0200X 3772694 Arizona

Profile Details

NPI number 1194880260
LBN Legal business name Polcyn, Dawn M.
Credentials EDS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2006
Last updated Mar 29th, 2011 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194880260 NPPES
Arizona MEDICAID 142953

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