MARY JOAN POLAK NPI 1851700041

NPI Information

NPI: 1851700041
Provider Name: MARY JOAN POLAK
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1700 BURLEIGH ST
YANKTON, SD
ZIP 57078
Phone: (605) 260-9284
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Mary Joan Polak is a professional counselor in Yankton, SD. Mary Joan Polak NPI is 1851700041. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1700 BURLEIGH ST
YANKTON, SD
ZIP 57078-418
Phone: (605) 260-9284
Fax: (605) 260-9284

The enumeration date for this NPI number is 8/13/2014 and was last updated on 8/13/2014.

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
1	101YP2500X	Counselor	Professional	LPC7157	SOUTH DAKOTA	Yes

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
1	498349901	MEDICAID	MISSOURI

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: 4/28/2024

NPI Synchronization or Removal

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