Provider Demographics
NPI:1811050024
Name:POLLINGUE, AMY KATHRYN (MA, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:KATHRYN
Last Name:POLLINGUE
Suffix:
Gender:F
Credentials:MA, CCC-SLP
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Mailing Address - Street 1:1116 DRUID OAKS NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30329-3271
Mailing Address - Country:US
Mailing Address - Phone:770-855-9420
Mailing Address - Fax:404-228-9263
Practice Address - Street 1:1116 DRUID OAKS NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30329-3271
Practice Address - Country:US
Practice Address - Phone:770-855-9420
Practice Address - Fax:404-228-9263
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GASLP006056235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist