Provider Demographics
NPI:1972621373
Name:POLINSKEY, THURMA (TERRY) G (EDD)
Entity Type:Individual
Prefix:DR
First Name:THURMA (TERRY)
Middle Name:G
Last Name:POLINSKEY
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1609 DODSON AVE
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72901-5129
Mailing Address - Country:US
Mailing Address - Phone:479-783-7931
Mailing Address - Fax:479-783-3540
Practice Address - Street 1:1609 DODSON AVE
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72901-5129
Practice Address - Country:US
Practice Address - Phone:479-783-7931
Practice Address - Fax:479-783-3540
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP8806007101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional