Provider Demographics
NPI:1528233376
Name:POLITE, THOMALIND MARTIN (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:THOMALIND
Middle Name:MARTIN
Last Name:POLITE
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 1:1231 MOSSTREE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29405-5219
Mailing Address - Country:US
Mailing Address - Phone:843-991-5070
Mailing Address - Fax:843-529-3906
Practice Address - Street 1:1231 MOSSTREE RD
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29405-5219
Practice Address - Country:US
Practice Address - Phone:843-991-5070
Practice Address - Fax:843-529-3906
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-23
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2798235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist