Provider Demographics
NPI:1093804437
Name:POLLERI, KARMARIE (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:KARMARIE
Middle Name:
Last Name:POLLERI
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15840 SAUSALITO CIR
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-9687
Mailing Address - Country:US
Mailing Address - Phone:352-242-9141
Mailing Address - Fax:
Practice Address - Street 1:15840 SAUSALITO CIR
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-9687
Practice Address - Country:US
Practice Address - Phone:352-242-9141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 5961235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist